Physician
John Gouldy, MD, PA
John Gouldy, MD, PA was paid $770K by Medicaid between Feb 2020 and Oct 2024, across 6 billing codes. Its largest line is 90836, — 40% of everything it billed.
33Billing provider infoJOHN GOULDY, MD, PA
BROWNSVILLE, TX 78521
BROWNSVILLE, TX 78521
33aNPI1073867651assigned 11/03/2012
33bProvider typePsychiatry Physician
28Total paid$770K
24GClaims13,751
24DCodes billed6
24AFirst – last monthFeb 2020 – Oct 2024
Compared with peers
Next to other Psychiatry Physician providers in Texas
Rank by total paid#46 of 311
Median peer was paid$63K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2020 | 1,164 | $63K | |
| 2021 | 5,097 | $290K | |
| 2022 | 2,971 | $161K | |
| 2023 | 2,593 | $143K | |
| 2024incomplete | 1,926 | $113K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90836 | 40% | 4,666 | 4,390 | $312K | |
| 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 | 32% | 4,998 | 4,728 | $250K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.5% | 2,249 | 2,127 | $73K |
| 90838 | 8.7% | 751 | 720 | $67K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 5.3% | 797 | 750 | $41K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.6% | 290 | 285 | $28K |
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.
From NPPES
Who's on the registration
Authorized officialGOULDY, JOHN (OWNER)