Physician
Kenneth L. Gayles, M.D., P.C.
Kenneth L. Gayles, M.D., P.C. was paid $389K by Medicaid between Jan 2018 and Dec 2023, across 13 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 60% of everything it billed.
33Billing provider infoKENNETH L. GAYLES, M.D., P.C.
BUFFALO, NY 14211
BUFFALO, NY 14211
33aNPI1073708111assigned 09/12/2007
33bProvider typeCardiovascular Disease Physician
28Total paid$389K
24GClaims4,625
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Cardiovascular Disease Physician providers in New York
Rank by total paid#131 of 1,564
Median peer was paid$13K
This provider vs. median30×
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 | 1,366 | $130K | |
| 2019 | 1,380 | $128K | |
| 2020 | 736 | $55K | |
| 2021 | 557 | $44K | |
| 2022 | 345 | $19K | |
| 2023 | 241 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 60% | 1,412 | 1,403 | $233K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 1,947 | 1,712 | $111K |
| 99443 | 3.2% | 337 | 286 | $12K | |
| 93351 | 3.1% | 68 | 67 | $12K | |
| 94060 | 1.3% | 116 | 116 | $5K | |
| 99205 | Prolong outpt/office vis | 1.1% | 29 | 29 | $4K |
| 93000 | 1.0% | 299 | 295 | $4K | |
| 93224 | <1% | 40 | 39 | $3K | |
| 93015 | <1% | 38 | 38 | $2K | |
| 93922 | <1% | 25 | 25 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 266 | 262 | $355.92 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | 15 | $245.52 |
1 more codes
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 33 | $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.
From NPPES
Who's on the registration
Authorized officialGAYLES, KENNETH (PRESIDENT)