Physician
Gaps Health Ca
Gaps Health Ca was paid $202K by Medicaid between May 2020 and Oct 2023, across 10 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 42% of everything it billed.
33Billing provider infoGAPS HEALTH CA
SAN FRANCISCO, CA 94123
SAN FRANCISCO, CA 94123
33aNPI1184283608assigned 06/08/2019
33bProvider typeFamily Medicine Physician
28Total paid$202K
24GClaims12,863
24DCodes billed10
24AFirst – last monthMay 2020 – Oct 2023
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#438 of 2,511
Median peer was paid$13K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2020 | 690 | $10K | |
| 2021 | 1,737 | $17K | |
| 2022 | 3,793 | $63K | |
| 2023 | 6,643 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 42% | 5,232 | 3,897 | $84K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 25% | 4,452 | 3,471 | $51K |
| 99306 | Prolong nursin fac eval 15m | 16% | 1,083 | 1,062 | $32K |
| 99497 | 13% | 1,081 | 1,071 | $27K | |
| 99305 | 2.9% | 280 | 272 | $6K | |
| 99307 | <1% | 118 | 50 | $1K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 32 | 32 | $1K |
| 99490 | Ccm add 20min | <1% | 506 | 506 | $613.51 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 45 | 45 | $150.03 |
| 99318 | 0% | 34 | 34 | $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 officialHUNTER, JODY (VP)
| Provider | Location | Paid |
|---|---|---|
| Claris Health PLLC | Irving, TX | $523K |
| Gaps Health NC | Mount Airy, NC | $496K |
| Gaps Health Co P.C. | Greeley, CO | $4K |
| Gaps Health in P.C. | Superior Twp, MI | $8.08 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.