Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gordon, Andrea

Gordon, Andrea was paid $184K by Medicaid between Jan 2018 and Jul 2020, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.

33Billing provider infoGORDON, ANDREA
HOPEWELL, VA 23860
33aNPI1326486135assigned 06/13/2013
33bProvider typePediatrics Physician
28Total paid$184K
24GClaims5,631
24DCodes billed24
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#191 of 817
Median peer was paid$29K
This provider vs. median6.3×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20183,066$97K
20191,821$61K
2020744$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 72% 2,416 2,213 $133K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.8% 249 233 $18K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.7% 141 136 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.7% 68 63 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.2% 181 145 $4K
92551 1.7% 316 309 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.5% 204 199 $3K
90670 1.4% 162 156 $3K
90698 <1% 108 105 $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 <1% 13 12 $1K
81002 <1% 235 228 $560.87
99173 <1% 217 210 $525.11
12 more codes
90461 <1% 419 $397.30
90686 <1% 33 $372.54
90460 Immunization administration through 18 years of age via any route, first or only component <1% 717 $334.05
99177 <1% 46 $174.58
90633 <1% 15 $156.75
90680 <1% 14 $155.65
90744 <1% 13 $144.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 $3.40
97802 0% 12 $0.00
99000 0% 12 $0.00
90473 0% 14 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 13 $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.