Physician
Gogue, Paul
Gogue, Paul was paid $52K by Medicaid between Jul 2018 and Sep 2018, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoGOGUE, PAUL
STERLING HEIGHTS, MI 48310
STERLING HEIGHTS, MI 48310
33aNPI1104172212assigned 07/25/2012
33bProvider typePediatrics Physician
28Total paid$52K
24GClaims2,783
24DCodes billed23
24AFirst – last monthJul 2018 – Sep 2018
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#244 of 349
Median peer was paid$321K
This provider vs. median0.2×
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 | 2,783 | $52K |
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 | 37% | 426 | 346 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 86 | 79 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.0% | 65 | 57 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 69 | 58 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.4% | 212 | 179 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 39 | 39 | $3K |
| 92552 | 4.9% | 158 | 146 | $3K | |
| 97803 | 4.4% | 176 | 162 | $2K | |
| 92015 | Determination of refractive state | 3.2% | 170 | 154 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.1% | 107 | 93 | $2K |
| 36416 | 2.7% | 198 | 178 | $1K | |
| 96127 | 2.3% | 341 | 263 | $1K |
11 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 140 | $882.00 |
| 87430 | 1.4% | 56 | $723.84 | |
| 85018 | <1% | 165 | $398.59 | |
| 96161 | <1% | 66 | $111.18 | |
| 90670 | 0% | 61 | $0.00 | |
| 90700 | 0% | 26 | $0.00 | |
| 90647 | 0% | 53 | $0.00 | |
| 3008F | 0% | 79 | $0.00 | |
| 90680 | 0% | 30 | $0.00 | |
| 90651 | 0% | 15 | $0.00 | |
| 2000F | 0% | 45 | $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.