Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Versailles › NPI 1386621118
Physician

Gordon, Sarah

Gordon, Sarah was paid $342K by Medicaid between Jan 2018 and Jul 2020, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.

33Billing provider infoGORDON, SARAH
VERSAILLES, MO 65084
33aNPI1386621118assigned 12/22/2005
33bProvider typePediatrics Physician
28Total paid$342K
24GClaims3,673
24DCodes billed14
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers

Next to other Pediatrics Physician providers in Missouri

Rank by total paid#102 of 992
Median peer was paid$40K
This provider vs. median8.4×

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$10K$20K$30K2018201920202021202220232024
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
20181,703$125K
20191,288$127K
2020682$91K
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 67% 2,021 1,811 $228K
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 9.0% 174 157 $31K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.9% 136 136 $23K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.4% 110 107 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.2% 205 203 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.6% 603 579 $9K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.1% 41 41 $7K
83655 1.3% 64 61 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.3% 25 24 $4K
85018 <1% 99 95 $2K
99188 <1% 106 102 $2K
81003 <1% 41 39 $815.40
2 more codes
86308 <1% 19 $734.40
87807 <1% 29 $475.20

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.