Englund, Gerald

Englund, Gerald was paid $278K by Medicaid between Jan 2018 and Jun 2020, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoENGLUND, GERALD
NEOSHO, MO 64850

33aNPI1003878141assigned 04/04/2006

33bProvider typeGynecology Physician

28Total paid$278K

24GClaims3,089

24DCodes billed7

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Gynecology Physician providers in Missouri

Rank by total paid#2 of 16

Median peer was paid$5K

This provider vs. median51×

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	639	$51K
2019	1,575	$156K
2020	875	$72K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	75%	1,474	933	$208K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	12%	28	20	$33K
81002		6.8%	1,510	923	$19K
76818		3.2%	36	16	$9K
59430		1.4%	12	12	$4K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	1.3%	12	12	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	17	16	$2K

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.