Physician
Gottsegen, David
Gottsegen, David was paid $529K by Medicaid between Jan 2018 and Mar 2023, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoGOTTSEGEN, DAVID
HOLYOKE, MA 01040
HOLYOKE, MA 01040
33aNPI1003884529assigned 03/10/2006
33bProvider typePediatrics Physician
28Total paid$529K
24GClaims12,083
24DCodes billed20
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#144 of 1,273
Median peer was paid$24K
This provider vs. median22×
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 | 1,982 | $85K | |
| 2019 | 2,675 | $108K | |
| 2020 | 2,277 | $85K | |
| 2021 | 2,587 | $114K | |
| 2022 | 2,078 | $111K | |
| 2023 | 484 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 1,674 | 1,628 | $157K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 2,323 | 2,279 | $125K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 1,465 | 1,204 | $53K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.3% | 401 | 376 | $49K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 5.5% | 214 | 214 | $29K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 230 | 230 | $19K |
| 99173 | 3.4% | 817 | 817 | $18K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.3% | 1,910 | 1,902 | $17K |
| 96127 | 2.5% | 1,170 | 1,132 | $13K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 97 | 97 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 729 | 715 | $8K |
| 90461 | 1.5% | 233 | 233 | $8K |
8 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 71 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 194 | $4K |
| 99051 | <1% | 222 | $4K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 153 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 39 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 85 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $515.36 |
| 94760 | <1% | 30 | $75.90 |
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.