James Gaal DO

James Gaal DO was paid $11K by Medicaid between Oct 2019 and Feb 2021, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.

33Billing provider infoJAMES GAAL DO
RIPLEY, WV 25271

33aNPI1114429040assigned 03/07/2018

33bProvider typeInternal Medicine Physician

28Total paid$11K

24GClaims203

24DCodes billed2

24AFirst – last monthOct 2019 – Feb 2021

Compared with peers

Next to other Internal Medicine Physician providers in West Virginia

Rank by total paid#64 of 96

Median peer was paid$24K

This provider vs. median0.4×

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
2019	18	$1K
2020	173	$9K
2021	12	$544.46

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	67%	152	143	$7K
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	33%	51	51	$4K

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 officialBOND, MEGAN (BILLING)