Gilbert, Jimmy

Gilbert, Jimmy was paid $7K by Medicaid between Jan 2018 and Mar 2018, across 5 billing codes. Its largest line is 95811, — 69% of everything it billed.

33Billing provider infoGILBERT, JIMMY
MONTROSE, CO 81401

33aNPI1629040936assigned 02/02/2006

33bProvider typePulmonary Disease Physician

28Total paid$7K

24GClaims116

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2018

Compared with peers

Next to other Pulmonary Disease Physician providers in Colorado

Rank by total paid#23 of 30

Median peer was paid$72K

This provider vs. median0.1×

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	116	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95811		69%	33	26	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	35	30	$2K
94375		3.1%	16	13	$205.25
94726		2.3%	16	13	$151.10
94729		1.5%	16	13	$99.48

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.