Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gordon, Lowell

Gordon, Lowell was paid $491K by Medicaid between Jan 2018 and Jul 2023, across 34 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 69% of everything it billed.

33Billing provider infoGORDON, LOWELL
TUSTIN, CA 92780
33aNPI1548248065assigned 01/04/2006
33bProvider typePediatrics Physician
28Total paid$491K
24GClaims50,698
24DCodes billed34
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#231 of 1,490
Median peer was paid$15K
This provider vs. median33×

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$20K$40K2018201920202021202220232024
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
2018159$1K
20192,049$11K
20203,369$16K
20214,260$11K
202224,503$256K
202316,358$196K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 69% 15,694 8,296 $340K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 1,925 1,553 $58K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 9.9% 1,606 1,459 $49K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3.1% 1,391 1,339 $15K
77067 Screening mammography, bilateral, including computer-aided detection 2.5% 121 121 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,395 1,163 $4K
77063 Screening digital breast tomosynthesis, bilateral <1% 120 120 $4K
96127 <1% 1,533 1,461 $3K
96156 <1% 116 114 $2K
92551 <1% 132 130 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 187 180 $1K
82947 <1% 70 64 $240.81
22 more codes
96150 <1% 12 $196.08
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 150 $86.16
86580 <1% 17 $73.61
81002 <1% 25 $56.75
90734 <1% 14 $9.00
3074F 0% 4,733 $0.00
3080F 0% 544 $0.00
3008F 0% 11,206 $0.00
3079F 0% 1,823 $0.00
91301 0% 143 $0.00
90688 0% 53 $0.00
90686 0% 15 $0.00
3075F 0% 1,113 $0.00
91307 0% 25 $0.00
91305 0% 13 $0.00
90651 0% 15 $0.00
3078F 0% 4,396 $0.00
3077F 0% 908 $0.00
99401 0% 261 $0.00
99173 0% 546 $0.00
91300 0% 362 $0.00
90715 0% 34 $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.