Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GAYLES, KENNETH

NPI: 1295764454 · BUFFALO, NY 14211 · Cardiovascular Disease Physician · NPI assigned 07/01/2006

$872K
Total Medicaid Paid
20,845
Total Claims
19,518
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,852 $167K
2019 4,802 $201K
2020 3,165 $129K
2021 3,439 $140K
2022 2,137 $87K
2023 2,184 $93K
2024 1,266 $54K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,768 3,549 $392K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,701 6,892 $215K
93015 1,823 1,804 $71K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 374 373 $29K
99443 835 721 $24K
93880 479 474 $22K
93922 650 641 $22K
94060 727 721 $19K
93224 372 369 $18K
93351 242 241 $16K
93000 2,018 1,994 $15K
99205 Prolong outpt/office vis 241 240 $11K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 211 205 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 184 157 $3K
93976 49 49 $3K
93978 64 62 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 236 229 $2K
36415 Collection of venous blood by venipuncture 350 344 $290.81
99442 14 14 $236.27
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 74 63 $0.00
99080 383 334 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 50 42 $0.00