Gabriel Gustin MD PC

Gabriel Gustin MD PC was paid $204K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.

33Billing provider infoGABRIEL GUSTIN MD PC
ELMHURST, NY 11373

33aNPI1902178486assigned 01/31/2012

33bProvider typeInternal Medicine Physician

28Total paid$204K

24GClaims2,190

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#851 of 6,049

Median peer was paid$11K

This provider vs. median18×

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	144	$9K
2019	178	$15K
2020	233	$19K
2021	388	$37K
2022	555	$54K
2023	443	$45K
2024incomplete	249	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	85%	1,831	1,414	$173K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.9%	250	202	$16K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	7.1%	109	109	$14K

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 officialGUSTIN, GABRIEL (OWNER)