Physician
Gershon, Daniel
Gershon, Daniel was paid $175K by Medicaid between Jan 2018 and Jun 2020, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoGERSHON, DANIEL
LEES SUMMIT, MO 64086
LEES SUMMIT, MO 64086
33aNPI1215929203assigned 08/17/2005
33bProvider typePediatrics Physician
28Total paid$175K
24GClaims5,030
24DCodes billed18
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Pediatrics Physician providers in Missouri
Rank by total paid#219 of 992
Median peer was paid$40K
This provider vs. median4.3×
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 | 2,285 | $85K | |
| 2019 | 2,277 | $75K | |
| 2020 | 468 | $16K |
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 | 31% | 972 | 943 | $55K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 513 | 496 | $33K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 674 | 646 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 297 | 295 | $20K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 291 | 284 | $19K |
| 99058 | 4.0% | 623 | 606 | $7K | |
| 90698 | 3.6% | 243 | 242 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 50 | 49 | $3K |
| 90670 | 1.2% | 403 | 395 | $2K | |
| 90686 | 1.2% | 394 | 386 | $2K | |
| 90680 | <1% | 205 | 201 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 60 | 29 | $894.42 |
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.