Physician
Gurney, Ellen
Gurney, Ellen was paid $248K by Medicaid between Jan 2018 and Jul 2019, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoGURNEY, ELLEN
PROVIDENCE, RI 02907
PROVIDENCE, RI 02907
33aNPI1154314748assigned 08/30/2005
33bProvider typePediatrics Physician
28Total paid$248K
24GClaims6,807
24DCodes billed18
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#82 of 265
Median peer was paid$133K
This provider vs. median1.9×
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 | 6,685 | $241K | |
| 2019 | 122 | $6K |
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 | 29% | 1,429 | 1,326 | $71K |
| 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 | 17% | 595 | 557 | $42K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 514 | 501 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 394 | 389 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.2% | 296 | 284 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.1% | 343 | 294 | $20K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.6% | 689 | 658 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.5% | 1,004 | 965 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.3% | 837 | 811 | $8K |
| 99460 | 1.2% | 67 | 55 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.1% | 57 | 46 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 252 | 128 | $3K |
6 more codes
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.