Physician
Gaus, Robin
Gaus, Robin was paid $96K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoGAUS, ROBIN
WEXFORD, PA 15090
WEXFORD, PA 15090
33aNPI1639411671assigned 03/16/2013
33bProvider typePediatrics Physician
28Total paid$96K
24GClaims2,050
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#501 of 1,257
Median peer was paid$45K
This provider vs. median2.1×
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 | 63 | $3K | |
| 2021 | 337 | $17K | |
| 2022 | 607 | $30K | |
| 2023 | 569 | $25K | |
| 2024incomplete | 474 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 53% | 766 | 748 | $51K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 718 | 709 | $32K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 67 | 67 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 54 | 54 | $5K |
| 90686 | <1% | 122 | 113 | $672.68 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 50 | 24 | $562.40 |
| 99051 | <1% | 14 | 14 | $437.24 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 32 | 30 | $401.72 |
| 87428 | <1% | 12 | 12 | $238.30 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17 | 17 | $170.00 |
| G9920 | Screening performed and negative | 0% | 59 | 59 | $0.00 |
| 99177 | 0% | 44 | 44 | $0.00 |
3 more codes
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.