Appelbaum, Gordon

Appelbaum, Gordon was paid $6K by Medicaid between Dec 2021 and Oct 2022, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoAPPELBAUM, GORDON
OCEANSIDE, CA 92056

33aNPI1245200674assigned 01/26/2006

33bProvider typeEmergency Medicine Physician

28Total paid$6K

24GClaims105

24DCodes billed3

24AFirst – last monthDec 2021 – Oct 2022

Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#643 of 988

Median peer was paid$32K

This provider vs. median0.2×

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
2021	14	$504.00
2022	91	$6K

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	39%	32	31	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	35%	26	24	$2K
99070		27%	47	44	$2K

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.