Gray, Janette

Gray, Janette was paid $22K by Medicaid between Jan 2018 and Apr 2020, across 23 billing codes. Its largest line is 96375, Therapeutic injection; each additional sequential IV push — 13% of everything it billed.

33Billing provider infoGRAY, JANETTE
SAN DIEGO, CA 92103

33aNPI1295721876assigned 09/20/2005

33bProvider typeInternal Medicine Physician

28Total paid$22K

24GClaims4,672

24DCodes billed23

24AFirst – last monthJan 2018 – Apr 2020

Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#1,157 of 2,679

Median peer was paid$13K

This provider vs. median1.7×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (10/07/2024).

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	994	$5K
2019	3,277	$14K
2020	401	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96375	Therapeutic injection; each additional sequential IV push	13%	178	54	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	13%	258	161	$3K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	12%	480	214	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	12%	336	266	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	7.3%	265	99	$2K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	6.1%	178	54	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.1%	673	300	$1K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	5.4%	177	54	$1K
J3490	Unclassified drugs	5.3%	139	25	$1K
97811		4.7%	112	66	$1K
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	3.5%	219	161	$753.49
97810		3.0%	158	90	$641.83

11 more codes

A4208	Syringe with needle, sterile 3 cc, each	2.7%	217	$578.98
J3415	Injection, pyridoxine hcl, 100 mg	1.8%	227	$394.07
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	406	$211.43
J0610	Injection, calcium gluconate (fresenius kabi), per 10 ml	<1%	79	$198.28
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	206	$182.78
97026		<1%	142	$120.45
96367		<1%	64	$105.29
97032		<1%	32	$15.59
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	<1%	49	$12.76
J3475	Injection, magnesium sulfate, per 500 mg	<1%	43	$11.23
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	34	$0.45

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.