Gilbert, Randall

Gilbert, Randall was paid $193K by Medicaid between Jan 2018 and Dec 2021, across 8 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 65% of everything it billed.

33Billing provider infoGILBERT, RANDALL
CULVER CITY, CA 90232

33aNPI1790737526assigned 05/17/2006

33bProvider typeRheumatology Physician

28Total paid$193K

24GClaims7,294

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other Rheumatology Physician providers in California

Rank by total paid#48 of 147

Median peer was paid$43K

This provider vs. median4.5×

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	1,290	$25K
2019	2,004	$54K
2020	1,860	$53K
2021	2,140	$61K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	65%	3,664	3,638	$126K
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	16%	2,351	2,331	$30K
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	14%	935	935	$27K
99205	Prolong outpt/office vis	4.7%	206	206	$9K
20610		<1%	41	41	$866.17
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	56	55	$475.26
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	13	13	$93.75
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	28	28	$72.18

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.