NP / PA
Gouldie, Dale
Gouldie, Dale was paid $80K by Medicaid between Sep 2018 and Nov 2020, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoGOULDIE, DALE
KNOXVILLE, TN 37922
KNOXVILLE, TN 37922
33aNPI1396910618assigned 04/28/2008
33bProvider typePediatric Clinical Nurse Specialist
28Total paid$80K
24GClaims2,422
24DCodes billed16
24AFirst – last monthSep 2018 – Nov 2020
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 | 432 | $12K | |
| 2019 | 1,191 | $42K | |
| 2020 | 799 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 710 | 614 | $34K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 160 | 147 | $12K |
| 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 | 11% | 119 | 109 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 11% | 560 | 487 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.3% | 85 | 75 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.1% | 230 | 201 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 38 | 38 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 102 | 41 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 103 | 77 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 32 | 26 | $796.99 |
| 96127 | <1% | 125 | 116 | $595.44 | |
| 90685 | 0% | 19 | 15 | $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.