Gaines, Jeffrey

Gaines, Jeffrey was paid $17K by Medicaid between Mar 2018 and Oct 2018, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 56% of everything it billed.

33Billing provider infoGAINES, JEFFREY
NEWPORT, RI 02840

33aNPI1912977075assigned 01/23/2006

33bProvider typeEmergency Medical Services (Emergency Medicine) Physician

28Total paid$17K

24GClaims236

24DCodes billed3

24AFirst – last monthMar 2018 – Oct 2018

Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Rhode Island

Rank by total paid#12 of 13

Median peer was paid$280K

This provider vs. median0.1×

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	236	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	56%	115	109	$9K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	37%	109	102	$6K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	7.9%	12	12	$1K

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.