Physician
Fuentes, Gwen
Fuentes, Gwen was paid $473K by Medicaid between Jan 2018 and Nov 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoFUENTES, GWEN
ARDMORE, OK 73401
ARDMORE, OK 73401
33aNPI1013914324assigned 06/30/2005
33bProvider typePediatrics Physician
28Total paid$473K
24GClaims10,155
24DCodes billed41
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Oklahoma
Rank by total paid#36 of 94
Median peer was paid$204K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2018 | 852 | $22K | |
| 2019 | 1,148 | $33K | |
| 2020 | 689 | $24K | |
| 2021 | 725 | $39K | |
| 2022 | 1,118 | $65K | |
| 2023 | 1,587 | $92K | |
| 2024incomplete | 4,036 | $197K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 2,678 | 2,418 | $193K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 1,607 | 1,598 | $62K |
| 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 | 9.2% | 397 | 381 | $43K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.0% | 436 | 414 | $38K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.9% | 544 | 516 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 200 | 200 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.4% | 1,131 | 1,092 | $16K |
| 99460 | 3.3% | 171 | 170 | $15K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.1% | 202 | 200 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 143 | 143 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 105 | 104 | $11K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.2% | 158 | 150 | $6K |
29 more codes
| 92587 | <1% | 217 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 40 | $4K |
| 92567 | <1% | 288 | $4K | |
| 99383 | <1% | 26 | $3K | |
| 90480 | <1% | 64 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 65 | $2K |
| 92551 | <1% | 130 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 25 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 97 | $887.45 |
| 99173 | <1% | 287 | $745.26 | |
| 99188 | <1% | 54 | $563.18 | |
| 99441 | <1% | 12 | $481.68 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $182.16 |
| 85013 | <1% | 24 | $149.52 | |
| 83655 | <1% | 12 | $129.24 | |
| 90656 | <1% | 78 | $0.06 | |
| 90686 | <1% | 304 | $0.02 | |
| 90671 | 0% | 124 | $0.00 | |
| 96160 | 0% | 93 | $0.00 | |
| 90623 | 0% | 13 | $0.00 | |
| 91321 | 0% | 34 | $0.00 | |
| 90710 | 0% | 42 | $0.00 | |
| 90633 | 0% | 28 | $0.00 | |
| 90680 | 0% | 72 | $0.00 | |
| 90688 | 0% | 49 | $0.00 | |
| 90677 | 0% | 94 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 19 | $0.00 |
| 90697 | 0% | 63 | $0.00 | |
| 90651 | 0% | 17 | $0.00 |
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.