Gist, Herman

Gist, Herman was paid $71K by Medicaid between Jan 2018 and Feb 2020, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoGIST, HERMAN
WASHINGTON, DC 20010

33aNPI1275528234assigned 09/15/2005

33bProvider typeCardiovascular Disease Physician

28Total paid$71K

24GClaims2,306

24DCodes billed8

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Cardiovascular Disease Physician providers in District of Columbia

Rank by total paid#7 of 23

Median peer was paid$20K

This provider vs. median3.5×

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	950	$32K
2019	1,331	$36K
2020	25	$3K

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	49%	1,043	970	$35K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	38%	333	311	$27K
93000		3.6%	718	666	$3K
93880		3.4%	58	54	$2K
93925		3.4%	32	30	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.5%	49	47	$1K
93923		<1%	32	30	$536.20
1012F		0%	41	37	$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.