Physician
Gauthier, Craig
Gauthier, Craig was paid $79K by Medicaid between Jan 2018 and Jun 2023, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.
33Billing provider infoGAUTHIER, CRAIG
NEW IBERIA, LA 70563
NEW IBERIA, LA 70563
33aNPI1467475475assigned 07/25/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$79K
24GClaims3,103
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Louisiana
Rank by total paid#78 of 126
Median peer was paid$155K
This provider vs. median0.5×
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 | 831 | $28K | |
| 2019 | 547 | $13K | |
| 2020 | 679 | $16K | |
| 2021 | 391 | $6K | |
| 2022 | 522 | $13K | |
| 2023 | 133 | $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 | 95% | 2,151 | 1,349 | $75K |
| 87210 | 2.1% | 874 | 642 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 12 | 12 | $833.14 |
| 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 | <1% | 13 | 12 | $663.81 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | 27 | $624.98 |
| 81000 | <1% | 25 | 13 | $28.44 |
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.