Gosney, Wallace
Gosney, Wallace was paid $325K by Medicaid between Dec 2018 and Nov 2024, across 9 billing codes. Its largest line is 99205, Prolong outpt/office vis — 63% of everything it billed.
33Billing provider infoGOSNEY, WALLACE
UPLAND, CA 91786
UPLAND, CA 91786
33aNPI1417915778assigned 05/03/2006
33bProvider typeSpecialist
28Total paid$325K
24GClaims3,809
24DCodes billed9
24AFirst – last monthDec 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#345 of 1,230
Median peer was paid$51K
This provider vs. median6.3×
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 | 29 | $3K | |
| 2019 | 483 | $40K | |
| 2020 | 307 | $28K | |
| 2021 | 772 | $71K | |
| 2022 | 659 | $56K | |
| 2023 | 773 | $63K | |
| 2024incomplete | 786 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99205 | Prolong outpt/office vis | 63% | 1,477 | 1,467 | $206K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 1,760 | 1,705 | $75K |
| 99223 | Prolong inpt eval add15 m | 9.7% | 329 | 323 | $32K |
| 93990 | 1.4% | 86 | 80 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.0% | 49 | 12 | $3K |
| 93925 | <1% | 25 | 25 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 44 | 13 | $118.60 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 27 | 26 | $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.