Gadson, Michael

Gadson, Michael was paid $189K by Medicaid between Jan 2020 and Oct 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoGADSON, MICHAEL
MT STERLING, IL 62353

33aNPI1407877822assigned 07/21/2006

33bProvider typePsychiatry Physician

28Total paid$189K

24GClaims3,677

24DCodes billed5

24AFirst – last monthJan 2020 – Oct 2023

Compared with peers

Next to other Psychiatry Physician providers in Illinois

Rank by total paid#204 of 660

Median peer was paid$68K

This provider vs. median2.8×

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
2020	1,331	$71K
2021	1,171	$54K
2022	959	$52K
2023	216	$12K

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	51%	1,642	1,332	$97K
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	31%	605	468	$58K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	11%	1,305	1,271	$21K
90792	Psychiatric diagnostic evaluation with medical services	6.6%	78	58	$13K
99441		<1%	47	46	$141.62

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.