Gaines, David

Gaines, David was paid $70K by Medicaid between Sep 2022 and Jan 2024, across 3 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 73% of everything it billed.

33Billing provider infoGAINES, DAVID
NEW CASTLE, DE 19720

33aNPI1992140800assigned 05/06/2013

33bProvider typePsychiatric/Mental Health Nurse Practitioner

28Total paid$70K

24GClaims544

24DCodes billed3

24AFirst – last monthSep 2022 – Jan 2024

Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Delaware

Rank by total paid#7 of 14

Median peer was paid$23K

This provider vs. median3.1×

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
2022	18	$812.46
2023	501	$67K
2024incomplete	25	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9012	Other specified case management service not elsewhere classified	73%	188	186	$50K
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	27%	342	276	$19K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	14	13	$612.50

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.