Gary J Proffett, MD, Apc

Gary J Proffett, MD, Apc was paid $523K by Medicaid between Jan 2018 and May 2022, across 6 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 42% of everything it billed.

33Billing provider infoGARY J PROFFETT, MD, APC
OXNARD, CA 93036

33aNPI1427246453assigned 10/03/2007

33bProvider typeGeriatric Medicine (Family Medicine) Physician

28Total paid$523K

24GClaims14,631

24DCodes billed6

24AFirst – last monthJan 2018 – May 2022

Compared with peers

Next to other Geriatric Medicine (Family Medicine) Physician providers in California

Rank by total paid#6 of 80

Median peer was paid$8K

This provider vs. median64×

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	3,678	$56K
2019	3,642	$160K
2020	3,693	$153K
2021	3,308	$137K
2022	310	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	42%	5,672	4,068	$218K
99308	Subsequent nursing facility care, per day, straightforward	35%	6,780	4,989	$182K
99316		7.9%	785	769	$42K
99306	Prolong nursin fac eval 15m	7.8%	527	510	$41K
99305		7.2%	793	768	$37K
99315		<1%	74	74	$3K

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 officialPROFFETT, GARY (PRESIDENT)