Behavioral
Gilbert, Douglas
Gilbert, Douglas was paid $23K by Medicaid between May 2020 and Mar 2021, across 5 billing codes. Its largest line is 96131, — 32% of everything it billed.
33Billing provider infoGILBERT, DOUGLAS
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
33aNPI1275653214assigned 03/31/2007
33bProvider typeClinical Psychologist
28Total paid$23K
24GClaims254
24DCodes billed5
24AFirst – last monthMay 2020 – Mar 2021
Compared with peers
Next to other Clinical Psychologist providers in Texas
Rank by total paid#73 of 101
Median peer was paid$77K
This provider vs. median0.3×
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 | 154 | $13K | |
| 2021 | 100 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96131 | 32% | 50 | 44 | $7K | |
| 96130 | 30% | 86 | 46 | $7K | |
| 96137 | 19% | 60 | 42 | $4K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 15% | 29 | 29 | $3K |
| 96136 | 4.6% | 29 | 29 | $1K |
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.