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NPI 1720428048 · San Diego, CA · Rheumatology Physician
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Gayle Kookootsedes is a rheumatology physician provider located in San Diego, California. This profile covers 25 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Gayle Kookootsedes |
| Address | 3633 Camino Del Rio S |
| City | San Diego |
| State | CA |
| ZIP | 92108 |
| Taxonomy | Rheumatology Physician |
| NPI Enumerated | July 1, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $240K |
| Medicaid | $560 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
25 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,710 | $100 | $163.7K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 140 | $130 | $18.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 170 | $60 | $9.7K |
| 20611 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe… | 80 | $100 | $8K |
| 76881 | In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is… | 180 | $40 | $7.3K |
| 73560 | In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 140 | $30 | $4.1K |
| 77080 | The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient… | 90 | $40 | $3.6K |
| 73120 | X–rays of the extremities have been performed to assess injury, fracture, arthritis, bone spurs, tumors, or congenital abnormalities. Extremity X–rays include the hand, wrist, arm, foot, ankle, hip,… | 120 | $30 | $3.2K |
| 73600 | In this procedure, the provider takes two X–ray views of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle. | 100 | $30 | $2.9K |
| 73620 | In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality. | 100 | $20 | $2.3K |
Showing 1–10 of 25
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
25 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 456 | 37,970 | 120 | $90 | $23.2K |
| 99215 | 14,056 | 15,360 | 50 | $130 | $14.4K |
| 99213 | 10,250 | 34,660 | 80 | $70 | $13.2K |
| 20611 | 384 | 880 | 70 | $90 | $13.2K |
| 76881 | 60 | 260 | 60 | $50 | $8.7K |
| 99204 | 1,685 | 19,360 | 40 | $120 | $7.2K |
| 77080 | 601 | 1,240 | 80 | $30 | $5.9K |
| 72020 | 5 | 80 | 20 | $20 | $3.5K |
| 20600 | 435 | 500 | 30 | $40 | $1.8K |
| 96372 | 1,770 | 4,960 | 50 | $10 | $1.5K |
Showing 1–10 of 25
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 20 | $40 | $570 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 12,543 | 13,300 | 640 | $40 | $169.6K |
Other providers in the same ZIP code as Gayle Kookootsedes, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Aces 2020, LLC | CA | Behavior Analyst | $0 | $49.3M |
| Blanca Cardenas | CA | Family Nurse Practitioner | $3.9M | $0 |
| Arthur Mabaquiao | CA | Rheumatology Physician | $1.9M | $0 |
| San Diego Health Alliance | CA | Methadone Clinic | $351.8K | $1.3M |
| Katherine Barringer | CA | Gerontology Nurse Practitioner | $674.3K | $0 |
| Perry Mansfield | CA | Otolaryngology Physician | $565.4K | $0 |
| Brian Weeks | CA | Otolaryngology Physician | $480.4K | $0 |
| Anand Patel | CA | Emergency Medicine Physician | $315.9K | $0 |
| .aleksandr Itkin | CA | Dermatology Physician | $297.3K | $0 |
| Michael O'leary | CA | Otology & Neurotology Physician | $296.3K | $0 |
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