Physician
Gilbert, George
Gilbert, George was paid $490K by Medicaid between Jan 2018 and Aug 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoGILBERT, GEORGE
PEORIA, IL 61604
PEORIA, IL 61604
33aNPI1215021100assigned 10/03/2006
33bProvider typeAddiction Medicine (Family Medicine) Physician
28Total paid$490K
24GClaims16,771
24DCodes billed30
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Addiction Medicine (Family Medicine) Physician providers in Illinois
Rank by total paid#1 of 10
Median peer was paid$58K
This provider vs. median8.4×
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 | 3,019 | $97K | |
| 2019 | 3,571 | $88K | |
| 2020 | 2,531 | $67K | |
| 2021 | 1,608 | $71K | |
| 2022 | 1,326 | $63K | |
| 2023 | 3,241 | $49K | |
| 2024incomplete | 1,475 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 3,346 | 2,950 | $238K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 3,123 | 2,694 | $129K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 6.4% | 712 | 550 | $31K |
| 80305 | 5.9% | 3,548 | 3,126 | $29K | |
| 96127 | 5.5% | 2,086 | 1,827 | $27K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.2% | 340 | 299 | $25K |
| 99406 | 1.2% | 889 | 761 | $6K | |
| 99407 | <1% | 218 | 201 | $3K | |
| 99253 | <1% | 12 | 12 | $557.40 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | 14 | $176.42 |
| 81002 | <1% | 54 | 50 | $132.60 | |
| 81003 | <1% | 41 | 38 | $80.45 |
18 more codes
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 385 | $3.58 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 136 | $1.28 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 175 | $0.00 |
| 1160F | 0% | 342 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 26 | $0.00 |
| 3078F | 0% | 73 | $0.00 | |
| 1159F | 0% | 217 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 16 | $0.00 |
| 3077F | 0% | 15 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 53 | $0.00 |
| 3079F | 0% | 66 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 186 | $0.00 |
| 1034F | 0% | 119 | $0.00 | |
| 3008F | 0% | 393 | $0.00 | |
| 3074F | 0% | 125 | $0.00 | |
| 1036F | 0% | 15 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 28 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 17 | $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.