Gunson, Michael

Gunson, Michael was paid $184K by Medicaid between Aug 2021 and Dec 2024, across 18 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 34% of everything it billed.

33Billing provider infoGUNSON, MICHAEL
JOHNSTON, RI 02919

33aNPI1013528199assigned 08/12/2020

33bProvider typePsychiatric/Mental Health Nurse Practitioner

28Total paid$184K

24GClaims2,269

24DCodes billed18

24AFirst – last monthAug 2021 – Dec 2024

Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Rhode Island

Rank by total paid#13 of 76

Median peer was paid$42K

This provider vs. median4.4×

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
2021	223	$11K
2022	399	$19K
2023	1,178	$111K
2024incomplete	469	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	34%	494	472	$63K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	672	639	$56K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	5.4%	118	111	$10K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.0%	81	79	$9K
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	4.8%	110	109	$9K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	3.2%	79	71	$6K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	2.6%	119	119	$5K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	2.6%	109	109	$5K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	2.3%	28	28	$4K
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	2.2%	19	19	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.8%	141	133	$3K
90792	Psychiatric diagnostic evaluation with medical services	1.5%	28	28	$3K

6 more codes

99239	Hospital discharge day management, more than 30 minutes	1.1%	26	$2K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	47	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	142	$1K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	18	$773.60
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	<1%	15	$573.44
87070		<1%	23	$480.78

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.