Gancayco, Theodore

Gancayco, Theodore was paid $87K by Medicaid between Sep 2019 and Dec 2022, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.

33Billing provider infoGANCAYCO, THEODORE
WASHINGTON, DC 20017

33aNPI1932217262assigned 08/28/2006

33bProvider typeOphthalmology Physician

28Total paid$87K

24GClaims1,135

24DCodes billed7

24AFirst – last monthSep 2019 – Dec 2022

Compared with peers

Next to other Ophthalmology Physician providers in District of Columbia

Rank by total paid#13 of 29

Median peer was paid$71K

This provider vs. median1.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	58	$4K
2020	202	$12K
2021	328	$26K
2022	547	$45K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	38%	282	279	$33K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	414	402	$32K
92083		8.8%	136	133	$8K
92250		5.3%	132	132	$5K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	5.3%	43	41	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.1%	101	99	$4K
92020		<1%	27	27	$707.67

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.