Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gillen, Malini

Gillen, Malini was paid $426K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoGILLEN, MALINI
CUMBERLAND, RI 02864
33aNPI1023091949assigned 11/23/2005
28Total paid$426K
24GClaims7,905
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Rhode Island

Rank by total paid#4 of 18
Median peer was paid$85K
This provider vs. median5.0×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,062$39K
2019177$7K
2020879$40K
20211,577$74K
20221,530$87K
20231,883$128K
2024incomplete797$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 2,555 2,391 $159K
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 36% 1,720 1,607 $153K
90460 Immunization administration through 18 years of age via any route, first or only component 4.4% 606 442 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.3% 232 229 $19K
87428 3.1% 252 250 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3.0% 762 716 $13K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.1% 89 85 $9K
92552 2.0% 402 394 $8K
99050 2.0% 262 255 $8K
90461 1.2% 159 152 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.2% 64 64 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 50 45 $3K
10 more codes
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 92 $3K
99051 <1% 69 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 25 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 25 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 127 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 111 $819.77
96127 <1% 149 $426.54
96161 <1% 27 $106.31
90686 <1% 112 $53.00
96160 <1% 15 $51.65

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.