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

Gestalt Pain Consultants

Gestalt Pain Consultants was paid $428K by Medicaid between Oct 2019 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoGESTALT PAIN CONSULTANTS
CHARLOTTE, NC 28210
33aNPI1447726989assigned 10/23/2018
28Total paid$428K
24GClaims12,363
24DCodes billed12
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other Interventional Pain Medicine Physician providers in North Carolina

Rank by total paid#3 of 16
Median peer was paid$23K
This provider vs. median19×

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
2019553$16K
20202,184$80K
20212,295$91K
20222,184$81K
20232,526$80K
2024incomplete2,621$81K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 68% 5,626 4,535 $289K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 1,771 1,503 $60K
80305 8.0% 3,414 2,766 $34K
96132 6.8% 518 476 $29K
96138 2.0% 519 476 $9K
95927 <1% 123 43 $4K
64493 <1% 17 15 $2K
95921 <1% 16 16 $970.08
64494 <1% 16 14 $666.80
95943 0% 97 37 $0.00
94760 0% 123 43 $0.00
93922 0% 123 43 $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.

From NPPES

Who's on the registration

Authorized officialAKANDE, ADEWUNMI (OWNER)