England, Gary

England, Gary was paid $23K by Medicaid between Feb 2018 and Oct 2020, across 3 billing codes. Its largest line is 54150, — 52% of everything it billed.

33Billing provider infoENGLAND, GARY
PADUCAH, KY 42003

33aNPI1760553754assigned 11/13/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$23K

24GClaims466

24DCodes billed3

24AFirst – last monthFeb 2018 – Oct 2020

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Kentucky

Rank by total paid#27 of 53

Median peer was paid$23K

This provider vs. median1.0×

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	241	$11K
2019	136	$6K
2020	89	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
54150		52%	181	161	$12K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	44%	270	190	$10K
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	3.9%	15	13	$890.58

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.