Gilbertson, Sandra

Gilbertson, Sandra was paid $207K by Medicaid between Jan 2018 and Jul 2020, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoGILBERTSON, SANDRA
SAINT JOSEPH, MO 64506

33aNPI1427008085assigned 05/12/2006

33bProvider typePediatric Nurse Practitioner

28Total paid$207K

24GClaims6,085

24DCodes billed15

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Missouri

Rank by total paid#10 of 212

Median peer was paid$13K

This provider vs. median16×

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	2,875	$98K
2019	2,368	$80K
2020	842	$29K

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	30%	1,694	1,555	$62K
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	22%	823	774	$45K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	18%	592	582	$37K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	15%	486	479	$30K
92551		4.6%	325	313	$9K
90723		3.9%	341	333	$8K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.7%	91	90	$6K
90686		1.4%	549	545	$3K
90670		1.3%	530	519	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	33	29	$2K
90647		<1%	276	272	$1K
90680		<1%	223	218	$1K

3 more codes

90633	<1%	52	$270.80
90685	<1%	29	$152.62
99173	<1%	41	$105.17

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.