Gaal, James

Gaal, James was paid $80K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoGAAL, JAMES
RIPLEY, WV 25271

33aNPI1023070703assigned 04/06/2006

33bProvider typeInternal Medicine Physician

28Total paid$80K

24GClaims2,330

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in West Virginia

Rank by total paid#34 of 96

Median peer was paid$24K

This provider vs. median3.4×

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
2018	581	$18K
2019	259	$6K
2020	406	$15K
2021	291	$8K
2022	278	$12K
2023	256	$11K
2024incomplete	259	$11K

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	64%	1,257	1,095	$52K
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	31%	506	472	$25K
99307		3.6%	533	499	$3K
90686		<1%	18	18	$323.17
G0008	Administration of influenza virus vaccine	<1%	16	16	$285.11

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.