Gottron, Mark

Gottron, Mark was paid $48K by Medicaid between Nov 2020 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.

33Billing provider infoGOTTRON, MARK
IRWIN, PA 15642

33aNPI1093713968assigned 07/13/2005

33bProvider typeFamily Medicine Physician

28Total paid$48K

24GClaims3,237

24DCodes billed7

24AFirst – last monthNov 2020 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#944 of 2,756

Median peer was paid$19K

This provider vs. median2.5×

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	16	$423.50
2021	887	$15K
2022	905	$12K
2023	953	$14K
2024incomplete	476	$7K

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	71%	1,113	942	$34K
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	29%	318	297	$14K
3078F		0%	492	456	$0.00
3077F		0%	81	68	$0.00
3079F		0%	557	517	$0.00
3074F		0%	630	568	$0.00
3075F		0%	46	43	$0.00

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.