Physician
Johnson, Gerard
Johnson, Gerard was paid $354K by Medicaid between Jun 2020 and Sep 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoJOHNSON, GERARD
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1437203676assigned 01/23/2007
33bProvider typePediatrics Physician
28Total paid$354K
24GClaims14,309
24DCodes billed26
24AFirst – last monthJun 2020 – Sep 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#553 of 1,136
Median peer was paid$329K
This provider vs. median1.1×
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 | 1,021 | $18K | |
| 2021 | 4,514 | $95K | |
| 2022 | 5,279 | $151K | |
| 2023 | 3,379 | $88K | |
| 2024incomplete | 116 | $3K |
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 | 22% | 2,285 | 1,819 | $79K |
| S8301 | Infection control supplies, not otherwise specified | 20% | 2,575 | 1,890 | $71K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 10% | 762 | 672 | $36K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 7.1% | 189 | 174 | $25K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 6.8% | 1,864 | 1,617 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.0% | 806 | 699 | $18K |
| 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 | 4.9% | 351 | 330 | $17K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.7% | 1,900 | 854 | $17K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 4.1% | 377 | 343 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 154 | 139 | $11K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.9% | 251 | 230 | $10K |
| 92567 | 2.1% | 662 | 573 | $7K |
14 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 84 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 812 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 250 | $3K |
| 87428 | <1% | 68 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 28 | $2K |
| 99429 | <1% | 59 | $2K | |
| 90461 | <1% | 142 | $1K | |
| 0002A | <1% | 13 | $520.00 | |
| 0071A | <1% | 21 | $480.00 | |
| 81002 | <1% | 41 | $127.30 | |
| 91300 | <1% | 20 | $40.00 | |
| 90686 | <1% | 488 | $0.20 | |
| 90670 | <1% | 80 | $0.01 | |
| 90648 | 0% | 27 | $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.