Gait, Priyanka
Gait, Priyanka was paid $98K by Medicaid between Jun 2019 and Jul 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoGAIT, PRIYANKA
URBANA, IL 61801
URBANA, IL 61801
33aNPI1679801856assigned 11/25/2009
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$98K
24GClaims1,575
24DCodes billed6
24AFirst – last monthJun 2019 – Jul 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Illinois
Rank by total paid#247 of 981
Median peer was paid$27K
This provider vs. median3.7×
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 | |
|---|---|---|---|
| 2019 | 379 | $19K | |
| 2020 | 496 | $21K | |
| 2021 | 246 | $22K | |
| 2022 | 246 | $21K | |
| 2023 | 176 | $12K | |
| 2024incomplete | 32 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 50% | 757 | 561 | $49K |
| 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 | 38% | 394 | 306 | $38K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 4.6% | 75 | 41 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.2% | 139 | 110 | $3K |
| 99205 | Prolong outpt/office vis | 1.9% | 32 | 32 | $2K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 1.9% | 178 | 142 | $2K |
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.