Sam, Gina

Sam, Gina was paid $57K by Medicaid between Aug 2018 and Dec 2020, across 18 billing codes. Its largest line is 99254, — 40% of everything it billed.

33Billing provider infoSAM, GINA
COLUMBUS, GA 31904

33aNPI1134387822assigned 05/29/2008

33bProvider typeGastroenterology Physician

28Total paid$57K

24GClaims1,886

24DCodes billed18

24AFirst – last monthAug 2018 – Dec 2020

Compared with peers

Next to other Gastroenterology Physician providers in Georgia

Rank by total paid#4 of 13

Median peer was paid$23K

This provider vs. median2.5×

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	21	$2K
2019	238	$5K
2020	1,627	$50K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99254		40%	268	260	$23K
99255		26%	164	160	$15K
99443		5.9%	53	46	$3K
99310	Prolong nursin fac eval 15m	5.6%	493	489	$3K
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	4.9%	48	40	$3K
99337		3.5%	55	55	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	3.4%	22	19	$2K
99327		3.0%	50	50	$2K
99308	Subsequent nursing facility care, per day, straightforward	2.6%	194	193	$1K
99401		2.6%	94	83	$1K
99253		1.7%	15	15	$950.76
99306	Prolong nursin fac eval 15m	<1%	75	75	$157.50

6 more codes

96127		<1%	41	$111.45
99305		<1%	55	$61.69
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	20	$31.92
99307		<1%	37	$15.56
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	97	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	105	$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.