Physician
Gaps Health NC
Gaps Health NC was paid $496K by Medicaid between Dec 2020 and Dec 2023, across 9 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 58% of everything it billed.
33Billing provider infoGAPS HEALTH NC
MOUNT AIRY, NC 27030
MOUNT AIRY, NC 27030
33aNPI1083273056assigned 06/12/2019
33bProvider typeFamily Medicine Physician
28Total paid$496K
24GClaims34,057
24DCodes billed9
24AFirst – last monthDec 2020 – Dec 2023
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#261 of 960
Median peer was paid$135K
This provider vs. median3.7×
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 | 854 | $7K | |
| 2021 | 14,972 | $190K | |
| 2022 | 13,160 | $218K | |
| 2023 | 5,071 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 58% | 19,121 | 6,408 | $290K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 27% | 11,591 | 4,115 | $133K |
| 99306 | Prolong nursin fac eval 15m | 12% | 1,942 | 846 | $59K |
| 99307 | <1% | 543 | 300 | $4K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 114 | 59 | $4K |
| 99305 | <1% | 226 | 85 | $2K | |
| 99304 | <1% | 207 | 56 | $2K | |
| 99318 | <1% | 64 | 48 | $2K | |
| 99497 | <1% | 249 | 94 | $638.95 |
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 officialHUNTER, JODY (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Claris Health PLLC | Irving, TX | $523K |
| Gaps Health Ca | San Francisco, CA | $202K |
| Gaps Health Co P.C. | Greeley, CO | $4K |
| Gaps Health in P.C. | Superior Twp, MI | $8.08 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.