Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gorbounova, Irina

Gorbounova, Irina was paid $16K by Medicaid between Nov 2022 and Apr 2024, across 8 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 44% of everything it billed.

33Billing provider infoGORBOUNOVA, IRINA
PROVIDENCE, RI 02903
33aNPI1235588245assigned 06/09/2016
28Total paid$16K
24GClaims468
24DCodes billed8
24AFirst – last monthNov 2022 – Apr 2024
Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Rhode Island

Rank by total paid#4 of 8
Median peer was paid$12K
This provider vs. median1.3×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2022110$2K
2023337$13K
2024incomplete21$661.94
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 44% 15 15 $7K
80053 Comprehensive metabolic panel 15% 99 92 $2K
82784 13% 82 78 $2K
86364 9.2% 83 79 $1K
84443 Thyroid stimulating hormone (TSH) 6.9% 26 26 $1K
86140 4.7% 61 58 $733.42
85027 4.0% 43 40 $614.01
85651 3.2% 59 56 $498.62

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.