Physician
Gaither, Douglas
Gaither, Douglas was paid $30K by Medicaid between Jan 2018 and Jul 2019, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 43% of everything it billed.
33Billing provider infoGAITHER, DOUGLAS
DAVENPORT, IA 52807
DAVENPORT, IA 52807
33aNPI1316948987assigned 08/09/2005
33bProvider typeEmergency Medicine Physician
28Total paid$30K
24GClaims717
24DCodes billed3
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Emergency Medicine Physician providers in Iowa
Rank by total paid#55 of 77
Median peer was paid$99K
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 | |
|---|---|---|---|
| 2018 | 438 | $18K | |
| 2019 | 279 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 43% | 320 | 306 | $13K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 39% | 221 | 217 | $12K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 18% | 176 | 171 | $5K |
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.