Gergen, Peter

Gergen, Peter was paid $21K by Medicaid between Feb 2022 and Mar 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

33Billing provider infoGERGEN, PETER
LUFKIN, TX 75904

33aNPI1396968384assigned 04/10/2007

33bProvider typePhysician Assistant

28Total paid$21K

24GClaims1,019

24DCodes billed7

24AFirst – last monthFeb 2022 – Mar 2023

Compared with peers

Next to other Physician Assistant providers in Texas

Rank by total paid#93 of 161

Median peer was paid$43K

This provider vs. median0.5×

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

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
2022	838	$17K
2023	181	$4K

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	66%	713	513	$14K
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	19%	170	111	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.8%	69	59	$1K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	5.1%	22	12	$1K
87428		3.1%	13	13	$668.76
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	14	13	$168.07
96160		<1%	18	15	$29.25

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.