Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Roberts, Gwenita

Roberts, Gwenita was paid $431K by Medicaid between Jul 2020 and Feb 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.

33Billing provider infoROBERTS, GWENITA
DALLAS, TX 75224
33aNPI1629093455assigned 07/13/2006
28Total paid$431K
24GClaims18,302
24DCodes billed36
24AFirst – last monthJul 2020 – Feb 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Texas

Rank by total paid#35 of 344
Median peer was paid$14K
This provider vs. median31×

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$10K$20K2018201920202021202220232024
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
20201,729$32K
20216,220$114K
20225,919$139K
20234,391$138K
2024incomplete43$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 3,007 2,762 $89K
99091 15% 417 406 $65K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15% 777 747 $63K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13% 748 718 $56K
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 10% 1,103 1,036 $44K
90460 Immunization administration through 18 years of age via any route, first or only component 7.8% 3,768 1,329 $34K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.3% 335 311 $23K
99000 3.6% 1,836 1,687 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.8% 169 162 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.5% 523 247 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.5% 91 85 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.4% 534 499 $6K
24 more codes
90461 <1% 484 $3K
81003 <1% 1,401 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 107 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 95 $2K
81025 <1% 292 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 144 $1K
94010 <1% 60 $937.25
96160 <1% 1,074 $886.23
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 86 $729.86
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 13 $728.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 25 $223.26
90658 <1% 237 $86.92
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 28 $2.18
G0444 Annual depression screening, 5 to 15 minutes 0% 276 $0.00
90648 0% 27 $0.00
90734 0% 100 $0.00
90713 0% 96 $0.00
90700 0% 203 $0.00
90670 0% 28 $0.00
90707 0% 33 $0.00
90715 0% 13 $0.00
90651 0% 116 $0.00
90620 0% 12 $0.00
90716 0% 44 $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.