Gottfredson, Ryan

Gottfredson, Ryan was paid $35K by Medicaid between Aug 2019 and Mar 2021, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.

33Billing provider infoGOTTFREDSON, RYAN
JBSA LACKLAND, TX 78236

33aNPI1447562616assigned 07/05/2010

33bProvider typePediatrics Physician

28Total paid$35K

24GClaims1,165

24DCodes billed7

24AFirst – last monthAug 2019 – Mar 2021

Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#816 of 1,136

Median peer was paid$329K

This provider vs. median0.1×

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
2019	268	$11K
2020	831	$21K
2021	66	$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	87%	448	426	$31K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.7%	16	14	$1K
90686		3.2%	151	149	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.6%	84	75	$932.77
99177		2.6%	120	117	$918.86
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.1%	283	275	$404.78
90472	Immunization administration, each additional vaccine (list separately)	0%	63	59	$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.