Physician
Gaul, Timothy
Gaul, Timothy was paid $13K by Medicaid between Dec 2020 and Aug 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoGAUL, TIMOTHY
MCKEESPORT, PA 15132
MCKEESPORT, PA 15132
33aNPI1225001886assigned 02/13/2006
33bProvider typeFamily Medicine Physician
28Total paid$13K
24GClaims293
24DCodes billed2
24AFirst – last monthDec 2020 – Aug 2022
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,571 of 2,756
Median peer was paid$19K
This provider vs. median0.7×
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 | 12 | $465.45 | |
| 2021 | 182 | $8K | |
| 2022 | 99 | $4K |
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 | 60% | 196 | 182 | $8K |
| 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 | 40% | 97 | 92 | $5K |
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.