Physician
Gerald Family Care
Gerald Family Care was paid $3.19M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoGERALD FAMILY CARE
WASHINGTON, DC 20017
WASHINGTON, DC 20017
33aNPI1407056336assigned 07/19/2007
33bProvider typeFamily Medicine Physician
28Total paid$3.19M
24GClaims84,870
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in District of Columbia
Rank by total paid#2 of 42
Median peer was paid$3K
This provider vs. median948×
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 | 10,979 | $487K | |
| 2019 | 9,438 | $385K | |
| 2020 | 10,969 | $502K | |
| 2021 | 10,246 | $358K | |
| 2022 | 14,226 | $471K | |
| 2023 | 16,698 | $558K | |
| 2024incomplete | 12,314 | $433K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 19,153 | 16,910 | $1.56M |
| 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% | 21,018 | 18,081 | $1.25M |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.0% | 1,743 | 1,628 | $193K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.3% | 1,013 | 951 | $105K |
| 96127 | <1% | 5,987 | 5,443 | $24K | |
| 99408 | <1% | 275 | 257 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 224 | 212 | $7K |
| 3008F | <1% | 14,765 | 12,162 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 345 | 305 | $5K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 459 | 367 | $4K |
| 90674 | <1% | 284 | 225 | $3K | |
| 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% | 32 | 31 | $3K |
54 more codes
| 99442 | <1% | 195 | $3K | |
| 90686 | <1% | 191 | $3K | |
| 99496 | <1% | 14 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 69 | $3K |
| 3074F | <1% | 4,221 | $2K | |
| 99383 | <1% | 17 | $2K | |
| 99385 | <1% | 17 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 121 | $2K |
| 96160 | <1% | 641 | $1K | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 103 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $930.24 |
| 99401 | <1% | 60 | $698.50 | |
| 3078F | <1% | 6,127 | $621.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 299 | $603.97 |
| 94010 | <1% | 22 | $407.97 | |
| 99443 | <1% | 18 | $329.13 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 13 | $272.82 |
| 99058 | <1% | 20 | $183.00 | |
| 99406 | <1% | 14 | $178.00 | |
| 99173 | <1% | 40 | $146.28 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $144.30 |
| 3075F | <1% | 438 | $128.00 | |
| 99000 | <1% | 185 | $92.40 | |
| 90694 | <1% | 24 | $87.07 | |
| 3044F | <1% | 105 | $49.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 293 | $34.57 |
| 3079F | <1% | 861 | $9.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 29 | $0.01 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,658 | $0.00 |
| 1126F | 0% | 135 | $0.00 | |
| 1170F | 0% | 265 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 290 | $0.00 |
| 1125F | 0% | 60 | $0.00 | |
| 1101F | 0% | 53 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 17 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 32 | $0.00 |
| 3017F | 0% | 41 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 15 | $0.00 |
| 3077F | 0% | 135 | $0.00 | |
| 99497 | 0% | 197 | $0.00 | |
| 3288F | 0% | 310 | $0.00 | |
| 1090F | 0% | 237 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 45 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 555 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 104 | $0.00 |
| 99499 | 0% | 531 | $0.00 | |
| 1160F | 0% | 125 | $0.00 | |
| 1158F | 0% | 89 | $0.00 | |
| 4004F | 0% | 155 | $0.00 | |
| 1159F | 0% | 123 | $0.00 | |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | 0% | 76 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 27 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 17 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 115 | $-36.93 |
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.
From NPPES
Who's on the registration
Authorized officialSTEWART, KIMBERLY (BILLING MANAGER)