Gillenwater, Jay

Gillenwater, Jay was paid $22K by Medicaid between Jan 2018 and Oct 2018, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoGILLENWATER, JAY
CHARLOTTESVILLE, VA 22902

33aNPI1528137155assigned 11/07/2006

33bProvider typePediatrics Physician

28Total paid$22K

24GClaims706

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#465 of 817

Median peer was paid$29K

This provider vs. median0.7×

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	706	$22K

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	69%	264	249	$15K
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	23%	60	60	$5K
90670		2.1%	12	12	$447.85
90686		1.4%	26	26	$307.24
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.1%	146	143	$231.65
90472	Immunization administration, each additional vaccine (list separately)	<1%	96	95	$204.25
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	14	13	$200.25
90648		<1%	12	12	$158.98
99173		<1%	17	17	$44.03
99051		0%	59	59	$0.00

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.