Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gaertner Psychiatric PC

Gaertner Psychiatric PC was paid $434K by Medicaid between Jan 2018 and Nov 2022, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.

33Billing provider infoGAERTNER PSYCHIATRIC PC
FREDERICKSBURG, VA 22401
33aNPI1437572435assigned 01/27/2014
33bProvider typePsychiatry Physician
28Total paid$434K
24GClaims9,195
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers

Next to other Psychiatry Physician providers in Virginia

Rank by total paid#23 of 167
Median peer was paid$28K
This provider vs. median16×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,154$37K
20191,770$69K
20202,308$107K
20212,099$113K
20221,864$108K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 63% 6,621 5,865 $272K
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 36% 2,496 2,179 $157K
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% 63 53 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 15 12 $855.84

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.

From NPPES

Who's on the registration

Authorized officialGAERTNER, W RONALD (OWNER)