Physician
Gaines, Sarah
Gaines, Sarah was paid $530K by Medicaid between Mar 2018 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoGAINES, SARAH
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1790880169assigned 09/13/2006
33bProvider typeEmergency Medicine Physician
28Total paid$530K
24GClaims12,218
24DCodes billed10
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Rhode Island
Rank by total paid#25 of 188
Median peer was paid$94K
This provider vs. median5.6×
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 | 231 | $17K | |
| 2019 | 113 | $11K | |
| 2020 | 312 | $28K | |
| 2021 | 337 | $30K | |
| 2022 | 3,181 | $137K | |
| 2023 | 3,864 | $143K | |
| 2024incomplete | 4,180 | $165K |
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 | 47% | 5,562 | 5,401 | $251K |
| 87428 | 30% | 2,802 | 2,721 | $159K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 12% | 659 | 644 | $62K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.4% | 296 | 285 | $18K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.4% | 587 | 579 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.4% | 1,311 | 1,264 | $13K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.1% | 38 | 38 | $6K |
| 81025 | <1% | 428 | 425 | $2K | |
| 81002 | <1% | 336 | 335 | $690.78 | |
| 87210 | <1% | 199 | 197 | $661.64 |
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.