Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Bronx › NPI 1679180533
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
33aNPI1679180533assigned 09/24/2020
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

$0$5.0K$10K2018201920202021202220232024
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
20211,182$27K
20221,582$59K
20231,691$74K
2024incomplete1,306$61K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.