Physician
Cisneros, Gabriel
Cisneros, Gabriel was paid $617K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoCISNEROS, GABRIEL
PITTSBURGH, PA 15217
PITTSBURGH, PA 15217
33aNPI1336449719assigned 11/01/2010
33bProvider typePediatrics Physician
28Total paid$617K
24GClaims12,905
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#160 of 1,257
Median peer was paid$45K
This provider vs. median14×
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 | 621 | $35K | |
| 2019 | 357 | $21K | |
| 2020 | 243 | $14K | |
| 2021 | 769 | $41K | |
| 2022 | 2,271 | $101K | |
| 2023 | 4,477 | $207K | |
| 2024incomplete | 4,167 | $198K |
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 | 39% | 4,864 | 4,722 | $242K |
| 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 | 39% | 3,049 | 2,977 | $239K |
| 99051 | 16% | 3,320 | 3,265 | $97K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 122 | 122 | $11K |
| 87428 | 1.4% | 328 | 328 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 484 | 478 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 161 | 159 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 324 | 161 | $4K |
| 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 | <1% | 13 | 13 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | 13 | $314.22 |
| 96127 | <1% | 31 | 31 | $24.64 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 26 | 26 | $21.56 |
7 more codes
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.