Gaines, Barbara

Gaines, Barbara was paid $31K by Medicaid between Jan 2018 and Oct 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.

33Billing provider infoGAINES, BARBARA
EAST PROVIDENCE, RI 02914

33aNPI1366439895assigned 09/30/2005

33bProvider typePediatrics Physician

28Total paid$31K

24GClaims834

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#210 of 265

Median peer was paid$133K

This provider vs. median0.2×

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	406	$12K
2019	60	$3K
2020	86	$2K
2021	85	$3K
2022	140	$8K
2023	57	$2K

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	82%	435	383	$25K
90460	Immunization administration through 18 years of age via any route, first or only component	11%	278	148	$4K
90461		3.4%	34	29	$1K
99050		2.3%	17	16	$701.01
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	28	28	$280.24
99173		<1%	13	13	$24.78
90686		<1%	29	26	$12.50

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.