Physician
Gaviola, Durga
Gaviola, Durga was paid $260K by Medicaid between Sep 2019 and Apr 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoGAVIOLA, DURGA
SOUTH PLAINFIELD, NJ 07080
SOUTH PLAINFIELD, NJ 07080
33aNPI1750341491assigned 03/25/2006
33bProvider typePediatrics Physician
28Total paid$260K
24GClaims13,780
24DCodes billed34
24AFirst – last monthSep 2019 – Apr 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#233 of 549
Median peer was paid$154K
This provider vs. median1.7×
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 | 99 | $460.00 | |
| 2020 | 231 | $3K | |
| 2021 | 412 | $7K | |
| 2022 | 305 | $9K | |
| 2023 | 9,461 | $177K | |
| 2024incomplete | 3,272 | $63K |
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 | 61% | 2,603 | 2,350 | $159K |
| 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 | 20% | 560 | 534 | $51K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.2% | 952 | 919 | $16K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.4% | 2,057 | 1,291 | $6K |
| 90620 | 2.2% | 293 | 183 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 492 | 485 | $5K |
| 90651 | 1.5% | 292 | 173 | $4K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 38 | 37 | $3K |
| 90686 | <1% | 1,596 | 1,035 | $2K | |
| 90619 | <1% | 14 | 14 | $2K | |
| 96127 | <1% | 493 | 480 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 49 | 49 | $2K |
22 more codes
| 90461 | <1% | 52 | $580.00 | |
| 90715 | <1% | 91 | $419.28 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 157 | $215.82 |
| 90713 | <1% | 416 | $162.56 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 18 | $161.00 |
| 90716 | <1% | 130 | $159.24 | |
| 90700 | <1% | 523 | $135.75 | |
| 90707 | <1% | 182 | $87.62 | |
| 90744 | <1% | 71 | $82.08 | |
| 36416 | <1% | 58 | $51.68 | |
| 92587 | <1% | 1,230 | $16.74 | |
| 90648 | <1% | 391 | $12.92 | |
| 99174 | <1% | 13 | $5.28 | |
| 96160 | 0% | 48 | $0.00 | |
| 90670 | 0% | 389 | $0.00 | |
| 90633 | 0% | 199 | $0.00 | |
| 99072 | 0% | 25 | $0.00 | |
| 90680 | 0% | 159 | $0.00 | |
| 3008F | 0% | 122 | $0.00 | |
| 97802 | 0% | 18 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 18 | $0.00 |
| 99050 | 0% | 31 | $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.