Goula, Walter

Goula, Walter was paid $204K by Medicaid between Apr 2019 and Sep 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoGOULA, WALTER
PROVIDENCE, RI 02904

33aNPI1144285859assigned 04/18/2006

33bProvider typeInternal Medicine Physician

28Total paid$204K

24GClaims4,273

24DCodes billed15

24AFirst – last monthApr 2019 – Sep 2024

Compared with peers

Next to other Internal Medicine Physician providers in Rhode Island

Rank by total paid#50 of 386

Median peer was paid$15K

This provider vs. median13×

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	106	$7K
2020	674	$43K
2021	1,182	$65K
2022	934	$40K
2023	992	$36K
2024incomplete	385	$12K

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	65%	1,744	1,493	$132K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	608	440	$34K
80061	Lipid panel	8.4%	562	544	$17K
80053	Comprehensive metabolic panel	3.1%	142	138	$6K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	2.7%	72	71	$5K
36415	Collection of venous blood by venipuncture	1.1%	214	197	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	112	110	$2K
96127		<1%	344	338	$1K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	15	12	$917.60
96160		<1%	245	244	$835.81
80050	General health panel	<1%	13	13	$832.76
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	35	32	$343.69

3 more codes

83036	Hemoglobin; glycosylated (A1C)	<1%	29	$194.71
82962		<1%	14	$31.60
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	124	$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.