Behavioral
Gaines, Thomas
Gaines, Thomas was paid $686K by Medicaid between Nov 2020 and Oct 2024, across 5 billing codes. Its largest line is 96131, — 39% of everything it billed.
33Billing provider infoGAINES, THOMAS
SAN ANTONIO, TX 78230
SAN ANTONIO, TX 78230
33aNPI1932117082assigned 08/04/2006
33bProvider typePsychologist
28Total paid$686K
24GClaims6,054
24DCodes billed5
24AFirst – last monthNov 2020 – Oct 2024
Compared with peers
Next to other Psychologist providers in Texas
Rank by total paid#20 of 95
Median peer was paid$177K
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2020 | 224 | $25K | |
| 2021 | 1,725 | $187K | |
| 2022 | 1,535 | $182K | |
| 2023 | 1,257 | $149K | |
| 2024incomplete | 1,313 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96131 | 39% | 1,206 | 1,188 | $266K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 23% | 1,214 | 1,191 | $158K |
| 96137 | 16% | 1,215 | 1,191 | $109K | |
| 96130 | 16% | 1,210 | 1,190 | $109K | |
| 96136 | 6.4% | 1,209 | 1,191 | $44K |
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.