Gates, Douglas

Gates, Douglas was paid $1.21M by Medicaid between Jan 2018 and Sep 2024, across 38 billing codes. Its largest line is 0502F, — 32% of everything it billed.

33Billing provider infoGATES, DOUGLAS
CARBONDALE, IL 62901

33aNPI1952406639assigned 09/14/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$1.21M

24GClaims18,525

24DCodes billed38

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#21 of 911

Median peer was paid$41K

This provider vs. median30×

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	975	$45K
2019	1,730	$111K
2020	2,171	$107K
2021	2,390	$163K
2022	2,853	$227K
2023	6,384	$430K
2024incomplete	2,022	$133K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0502F		32%	7,423	4,579	$385K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	24%	321	243	$295K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	2,677	2,021	$151K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	5.7%	982	888	$70K
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	4.1%	682	582	$50K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.0%	385	253	$36K
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	2.9%	528	432	$35K
76801		2.7%	489	452	$33K
0503F		2.0%	333	239	$25K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.5%	217	179	$18K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	1.4%	323	304	$17K
76830	Ultrasound, transvaginal	1.2%	245	198	$15K

26 more codes

0500F		<1%	185	$11K
59430		<1%	118	$10K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	198	$9K
86780		<1%	529	$9K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	180	$9K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	198	$9K
86803		<1%	295	$5K
99234		<1%	54	$4K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	538	$3K
96127		<1%	197	$3K
96160		<1%	196	$3K
87340		<1%	215	$3K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	33	$2K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	32	$2K
86762		<1%	211	$2K
87624	Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types	<1%	48	$1K
83036	Hemoglobin; glycosylated (A1C)	<1%	218	$1K
87801	Infectious agent detection by nucleic acid; amplified probe, multiple organisms	<1%	24	$989.78
82950		<1%	171	$789.12
90674		<1%	31	$758.22
76819	Fetal biophysical profile; without non-stress testing	<1%	14	$587.36
81025		<1%	51	$262.43
85018		<1%	74	$171.68
85014		<1%	73	$169.36
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	13	$141.68
81001		<1%	24	$68.64

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.