NP / PA
Gil, Karen
Gil, Karen was paid $221K by Medicaid between May 2021 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoGIL, KAREN
BRONX, NY 10453
BRONX, NY 10453
33aNPI1679180533assigned 09/24/2020
33bProvider typeFamily Nurse Practitioner
28Total paid$221K
24GClaims5,761
24DCodes billed18
24AFirst – last monthMay 2021 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in New York
Rank by total paid#47 of 1,582
Median peer was paid$2K
This provider vs. median96×
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 | |
|---|---|---|---|
| 2021 | 1,182 | $27K | |
| 2022 | 1,582 | $59K | |
| 2023 | 1,691 | $74K | |
| 2024incomplete | 1,306 | $61K |
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 | 41% | 1,801 | 1,640 | $91K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 1,628 | 1,488 | $69K |
| 99442 | 20% | 974 | 937 | $43K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.7% | 100 | 100 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 39 | 39 | $3K |
| 99443 | 1.2% | 49 | 49 | $3K | |
| 99490 | Ccm add 20min | 1.2% | 229 | 228 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 44 | 44 | $2K |
| 98960 | <1% | 55 | 54 | $682.50 | |
| 99385 | <1% | 12 | 12 | $648.96 | |
| 1160F | <1% | 449 | 389 | $278.50 | |
| 90756 | <1% | 12 | 12 | $207.75 |
6 more codes
| 1159F | <1% | 103 | $60.00 | |
| 3078F | <1% | 78 | $14.84 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 83 | $1.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | <1% | 79 | $1.00 |
| 3074F | 0% | 12 | $0.00 | |
| 3080F | 0% | 14 | $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.