Gibson, Gwendolyn

Gibson, Gwendolyn was paid $63K by Medicaid between Jan 2018 and Feb 2020, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoGIBSON, GWENDOLYN
RICHMOND, VA 23233

33aNPI1265546055assigned 08/18/2006

33bProvider typePediatrics Physician

28Total paid$63K

24GClaims2,304

24DCodes billed23

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#297 of 817

Median peer was paid$29K

This provider vs. median2.1×

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	2,112	$53K
2019	145	$7K
2020	47	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	62%	758	708	$39K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.9%	64	64	$5K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.4%	51	51	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.0%	113	111	$4K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	4.5%	40	39	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.6%	116	112	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.5%	18	18	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.2%	54	50	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	1.2%	254	251	$762.24
90700		<1%	46	46	$566.36
90713		<1%	29	29	$398.70
92552		<1%	13	13	$355.22

11 more codes

90651		<1%	13	$318.59
85018		<1%	96	$261.88
90461		<1%	121	$230.74
90670		<1%	17	$176.00
99173		<1%	96	$167.63
83655		<1%	12	$160.67
90648		<1%	12	$132.00
99177		<1%	38	$113.56
96160		<1%	37	$108.25
36416		<1%	121	$92.32
G8709	Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne)	0%	185	$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.