Physician
Gayles, Kenneth
Gayles, Kenneth was paid $872K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 45% of everything it billed.
33Billing provider infoGAYLES, KENNETH
BUFFALO, NY 14211
BUFFALO, NY 14211
33aNPI1295764454assigned 07/01/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$872K
24GClaims20,845
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in New York
Rank by total paid#69 of 1,564
Median peer was paid$13K
This provider vs. median67×
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 | 3,852 | $167K | |
| 2019 | 4,802 | $201K | |
| 2020 | 3,165 | $129K | |
| 2021 | 3,439 | $140K | |
| 2022 | 2,137 | $87K | |
| 2023 | 2,184 | $93K | |
| 2024incomplete | 1,266 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 45% | 3,768 | 3,549 | $392K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 7,701 | 6,892 | $215K |
| 93015 | 8.1% | 1,823 | 1,804 | $71K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.3% | 374 | 373 | $29K |
| 99443 | 2.8% | 835 | 721 | $24K | |
| 93880 | 2.5% | 479 | 474 | $22K | |
| 93922 | 2.5% | 650 | 641 | $22K | |
| 94060 | 2.1% | 727 | 721 | $19K | |
| 93224 | 2.1% | 372 | 369 | $18K | |
| 93351 | 1.8% | 242 | 241 | $16K | |
| 93000 | 1.8% | 2,018 | 1,994 | $15K | |
| 99205 | Prolong outpt/office vis | 1.3% | 241 | 240 | $11K |
10 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 211 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 184 | $3K |
| 93976 | <1% | 49 | $3K | |
| 93978 | <1% | 64 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 236 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 350 | $290.81 |
| 99442 | <1% | 14 | $236.27 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 74 | $0.00 |
| 99080 | 0% | 383 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 50 | $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.