Gouldy, John

Gouldy, John was paid $475K by Medicaid between Dec 2021 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.

33Billing provider infoGOULDY, JOHN
IMPERIAL, CA 92251

33aNPI1083894117assigned 11/06/2007

33bProvider typePsychiatry Physician

28Total paid$475K

24GClaims8,579

24DCodes billed5

24AFirst – last monthDec 2021 – Oct 2024

Compared with peers

Next to other Psychiatry Physician providers in California

Rank by total paid#87 of 483

Median peer was paid$24K

This provider vs. median20×

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	31	$2K
2022	3,089	$159K
2023	3,158	$177K
2024incomplete	2,301	$138K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	30%	2,821	2,691	$141K
90836		29%	2,069	1,941	$137K
90838		16%	850	803	$75K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	13%	1,134	1,108	$61K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	1,705	1,655	$60K

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.