Physician
Gabay Ent & Associates, INC.
Gabay Ent & Associates, INC. was paid $41K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoGABAY ENT & ASSOCIATES, INC.
PHILA, PA 19115
PHILA, PA 19115
33aNPI1790755437assigned 01/25/2006
33bProvider typeOtolaryngology/Facial Plastic Surgery Physician
28Total paid$41K
24GClaims4,560
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Otolaryngology/Facial Plastic Surgery Physician providers in Pennsylvania
Rank by total paid#5 of 12
Median peer was paid$3K
This provider vs. median14×
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 | 571 | $2K | |
| 2020 | 134 | $2K | |
| 2021 | 1,062 | $10K | |
| 2022 | 919 | $6K | |
| 2023 | 1,228 | $12K | |
| 2024incomplete | 646 | $9K |
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 | 56% | 1,585 | 1,464 | $23K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 28% | 384 | 379 | $12K |
| 69210 | 8.2% | 805 | 767 | $3K | |
| 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 | 6.0% | 411 | 404 | $2K |
| 95115 | 1.6% | 163 | 73 | $636.74 | |
| 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% | 45 | 45 | $95.54 |
| 31575 | 0% | 13 | 12 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 750 | 708 | $0.00 |
| 1124F | 0% | 56 | 55 | $0.00 | |
| 92557 | 0% | 30 | 30 | $0.00 | |
| 1123F | 0% | 87 | 83 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 166 | 160 | $0.00 |
2 more codes
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.
From NPPES
Who's on the registration
Authorized officialGABAY, RAPHAEL (OWNER)