Gemma TH Ko,md. INC.

Gemma TH Ko,md. INC. was paid $56K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 95% of everything it billed.

33Billing provider infoGEMMA TH KO,MD. INC.
PICO RIVERA, CA 90660

33aNPI1184633620assigned 08/05/2006

33bProvider typeInternal Medicine Physician

28Total paid$56K

24GClaims2,530

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#821 of 2,679

Median peer was paid$13K

This provider vs. median4.4×

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
2018	461	$7K
2019	295	$10K
2020	302	$7K
2021	117	$2K
2022	358	$8K
2023	374	$14K
2024incomplete	623	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99310	Prolong nursin fac eval 15m	95%	2,252	2,191	$53K
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	2.4%	178	163	$1K
99306	Prolong nursin fac eval 15m	1.8%	13	12	$1K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	25	25	$299.22
99497		<1%	12	12	$150.15
3008F		0%	25	25	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	12	12	$0.00
S3005	Performance measurement, evaluation of patient self assessment, depression	0%	13	13	$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.

From NPPES

Who's on the registration

Authorized officialGUZMAN, MICHELE (OFFICE MANAGER)