Gold, Michael
Gold, Michael was paid $282K by Medicaid between Jan 2018 and Dec 2020, across 17 billing codes. Its largest line is 11900, — 20% of everything it billed.
33Billing provider infoGOLD, MICHAEL
NASHVILLE, TN 37215
NASHVILLE, TN 37215
33aNPI1073549176assigned 06/23/2006
33bProvider typeSpecialist
28Total paid$282K
24GClaims14,888
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#73 of 252
Median peer was paid$57K
This provider vs. median4.9×
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 | 6,914 | $141K | |
| 2019 | 3,885 | $71K | |
| 2020 | 4,089 | $70K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11900 | 20% | 2,411 | 1,679 | $55K | |
| 17340 | 18% | 1,124 | 897 | $50K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,431 | 1,285 | $44K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 13% | 2,407 | 1,862 | $37K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 10% | 1,497 | 1,292 | $29K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.8% | 412 | 401 | $25K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 5.7% | 3,732 | 2,784 | $16K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.2% | 320 | 279 | $6K |
| 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 | 1.6% | 103 | 83 | $5K |
| 17110 | 1.6% | 128 | 95 | $5K | |
| 11300 | 1.3% | 227 | 84 | $4K | |
| 11301 | <1% | 86 | 42 | $2K |
5 more codes
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 626 | $1K |
| 11310 | <1% | 68 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 258 | $825.48 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $496.90 |
| 36415 | Collection of venous blood by venipuncture | <1% | 42 | $97.32 |
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.