F.C. Gapultos, JR., M.D.
F.C. Gapultos, JR., M.D. was paid $18K by Medicaid between Mar 2018 and Feb 2022, across 10 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 26% of everything it billed.
33Billing provider infoF.C. GAPULTOS, JR., M.D.
SHEFFIELD, AL 35660
SHEFFIELD, AL 35660
33aNPI1306914544assigned 12/04/2006
33bProvider typeSpecialist
28Total paid$18K
24GClaims1,097
24DCodes billed10
24AFirst – last monthMar 2018 – Feb 2022
Compared with peers
Next to other Specialist providers in Alabama
Rank by total paid#100 of 162
Median peer was paid$49K
This provider vs. median0.4×
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 | 246 | $3K | |
| 2019 | 146 | $3K | |
| 2020 | 174 | $8K | |
| 2021 | 353 | $4K | |
| 2022 | 178 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 26% | 94 | 62 | $5K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 17% | 55 | 38 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 173 | 118 | $3K |
| 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 | 13% | 90 | 61 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 12% | 53 | 41 | $2K |
| 76801 | 8.1% | 28 | 25 | $1K | |
| 81002 | 4.1% | 358 | 218 | $751.59 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 1.4% | 173 | 140 | $264.00 |
| 81025 | <1% | 44 | 39 | $98.60 | |
| 85018 | <1% | 29 | 26 | $75.00 |
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.
From NPPES
Who's on the registration
Authorized officialGAPULTOS, F. (OWNER)