Gummelt, William

Gummelt, William was paid $18K by Medicaid between Jan 2018 and Sep 2018, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 77% of everything it billed.

33Billing provider infoGUMMELT, WILLIAM
SAINT JOSEPH, MO 64506

33aNPI1285670281assigned 06/20/2006

33bProvider typeFamily Medicine Physician

28Total paid$18K

24GClaims215

24DCodes billed3

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other Family Medicine Physician providers in Missouri

Rank by total paid#438 of 911

Median peer was paid$16K

This provider vs. median1.2×

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	215	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	77%	140	130	$14K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	16%	40	40	$3K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	7.4%	35	35	$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.