Physician
Gaitan, Scott
Gaitan, Scott was paid $13K by Medicaid between Jan 2018 and Oct 2022, across 17 billing codes. Its largest line is 96151, — 21% of everything it billed.
33Billing provider infoGAITAN, SCOTT
SANTA ROSA, CA 95405
SANTA ROSA, CA 95405
33aNPI1912013533assigned 08/23/2006
33bProvider typePediatrics Physician
28Total paid$13K
24GClaims2,309
24DCodes billed17
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#759 of 1,490
Median peer was paid$15K
This provider vs. median0.9×
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 | 253 | $647.72 | |
| 2019 | 602 | $6K | |
| 2020 | 450 | $2K | |
| 2021 | 693 | $2K | |
| 2022 | 311 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96151 | 21% | 123 | 123 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 20% | 38 | 38 | $3K |
| 90686 | 18% | 259 | 259 | $2K | |
| 96156 | 11% | 309 | 309 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 24 | 24 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 687 | 673 | $738.50 |
| 99050 | 4.6% | 12 | 12 | $600.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 12 | 12 | $578.76 |
| 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 | 2.5% | 199 | 198 | $327.28 |
| G9920 | Screening performed and negative | 1.8% | 239 | 239 | $232.00 |
| 92551 | 1.3% | 13 | 13 | $171.08 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 92 | 92 | $0.00 |
5 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 79 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 24 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 175 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 12 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 12 | $0.00 |
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.