Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Berea › NPI 1295104610
NP / PA

Gover, Theodore

Gover, Theodore was paid $17K by Medicaid between Jul 2024 and Dec 2024, across 9 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 69% of everything it billed.

33Billing provider infoGOVER, THEODORE
BEREA, OH 44017
33aNPI1295104610assigned 09/15/2015
28Total paid$17K
24GClaims532
24DCodes billed9
24AFirst – last monthJul 2024 – Dec 2024
Compared with peers

Next to other Medical Physician Assistant providers in Ohio

Rank by total paid#5 of 15
Median peer was paid$7K
This provider vs. median2.5×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete532$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 69% 227 227 $11K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 21% 44 44 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.2% 17 17 $703.08
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 3.1% 16 16 $510.58
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.1% 19 18 $177.34
81025 <1% 15 15 $90.33
99051 <1% 58 58 $66.00
81003 <1% 17 17 $24.84
S9088 Services provided in an urgent care center (list in addition to code for service) 0% 119 119 $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.