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

Jose a Goris, MD PC

Jose a Goris, MD PC was paid $654K by Medicaid between Jan 2018 and Dec 2024, across 165 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoJOSE A GORIS, MD PC
NEW YORK, NY 10033
33aNPI1477673077assigned 03/29/2007
28Total paid$654K
24GClaims420,687
24DCodes billed165
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in New York

Rank by total paid#30 of 178
Median peer was paid$27K
This provider vs. median24×

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$10K$20K2018201920202021202220232024
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
201850,232$158K
201945,760$111K
202042,333$104K
202154,843$115K
202274,935$26K
202386,328$88K
2024incomplete66,256$53K
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 24% 14,837 14,242 $154K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 11% 3,314 3,295 $73K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9.8% 8,504 7,596 $64K
93000 6.8% 3,686 3,682 $45K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 5.8% 2,863 2,677 $38K
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 5.3% 1,645 1,606 $35K
G0444 Annual depression screening, 5 to 15 minutes 4.7% 2,290 2,153 $30K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4.0% 2,811 2,793 $26K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2.6% 10,837 10,363 $17K
82947 2.2% 6,213 5,950 $15K
H0001 Alcohol and/or drug assessment 2.0% 11,623 11,135 $13K
94010 1.9% 484 481 $12K
153 more codes
90750 1.7% 77 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.5% 424 $10K
3078F 1.3% 9,829 $8K
3074F 1.3% 9,317 $8K
90756 1.0% 1,225 $7K
0011A <1% 166 $6K
0012A <1% 126 $5K
90688 <1% 342 $5K
3079F <1% 3,793 $4K
99397 <1% 504 $4K
90674 <1% 339 $3K
36415 Collection of venous blood by venipuncture <1% 11,603 $3K
96127 <1% 7,927 $3K
3077F <1% 1,979 $3K
90677 <1% 22 $3K
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes <1% 1,536 $3K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 672 $3K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 16,057 $3K
3075F <1% 2,535 $2K
G9507 Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) <1% 3,449 $2K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 211 $2K
97802 <1% 1,800 $2K
99497 <1% 39 $2K
0064A <1% 67 $2K
97803 <1% 1,830 $2K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes <1% 147 $2K
99386 <1% 156 $2K
99442 <1% 107 $2K
1159F <1% 13,495 $2K
99496 <1% 32 $2K
1160F <1% 14,400 $1K
1126F <1% 8,460 $1K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous <1% 1,582 $1K
90658 <1% 318 $1K
99401 <1% 611 $1K
3048F <1% 4,419 $964.00
94762 <1% 1,473 $861.07
G9820 Documentation of a chlamydia screening test with proper follow-up <1% 628 $837.13
1125F <1% 4,518 $831.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 308 $823.97
99385 <1% 64 $705.85
82270 <1% 2,081 $653.96
3044F <1% 4,216 $558.00
A4927 Gloves, non-sterile, per 100 <1% 8,103 $544.33
99000 <1% 8,311 $500.00
3061F <1% 662 $388.00
99204 Doctor's office visit, new patient (more involved) <1% 74 $365.25
92250 <1% 29 $346.50
99408 <1% 170 $325.01
81003 <1% 189 $296.33
A4245 Alcohol wipes, per box <1% 7,379 $273.87
0134A <1% 18 $240.00
99203 Doctor's office visit, new patient (routine) <1% 27 $226.73
G0445 High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes <1% 62 $196.00
94760 <1% 1,046 $185.18
86580 <1% 32 $176.01
82272 <1% 2,070 $170.61
1111F <1% 56 $165.00
92227 <1% 25 $138.18
3080F <1% 91 $128.50
G0102 Prostate cancer screening; digital rectal examination <1% 14 $124.26
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment <1% 65 $122.41
3049F <1% 1,686 $90.00
A6413 Adhesive bandage, first-aid type, any size, each <1% 6,944 $80.12
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 11,053 $50.00
G8752 Most recent systolic blood pressure < 140 mmhg <1% 9,592 $48.00
3050F <1% 1,729 $40.00
82948 <1% 116 $40.00
G9150 National committee for quality assurance - level 3 medical home <1% 17,313 $34.50
A4259 Lancets, per box of 100 <1% 3,437 $32.97
G8734 Elder maltreatment screen documented as negative, follow-up is not required <1% 936 $20.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented <1% 2,248 $20.00
4293F <1% 8,643 $14.00
1158F <1% 249 $10.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 70 $10.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required <1% 6,067 $8.00
G8482 Influenza immunization administered or previously received <1% 1,803 $6.00
4274F <1% 1,314 $2.00
G8753 Most recent systolic blood pressure >= 140 mmhg <1% 1,495 $2.00
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 3,453 $1.45
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 3,990 $1.40
3008F <1% 13,560 $0.87
G8783 Normal blood pressure reading documented, follow-up not required <1% 672 $0.80
4010F <1% 2,889 $0.59
91301 <1% 302 $0.10
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method <1% 11,057 $0.09
91313 <1% 17 $0.06
91306 <1% 50 $0.03
G0432 Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening <1% 1,954 $0.02
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 1,829 $0.01
1000F 0% 9,622 $0.00
4008F 0% 651 $0.00
4037F 0% 1,055 $0.00
3017F 0% 1,524 $0.00
G9275 Documentation that patient is a current non-tobacco user 0% 5,873 $0.00
1036F 0% 9,785 $0.00
2016F 0% 352 $0.00
3011F 0% 2,294 $0.00
3014F 0% 586 $0.00
4144F 0% 348 $0.00
1101F 0% 383 $0.00
4086F 0% 1,500 $0.00
1220F 0% 1,821 $0.00
3754F 0% 507 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 136 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 816 $0.00
4140F 0% 542 $0.00
2010F 0% 472 $0.00
2000F 0% 724 $0.00
2001F 0% 496 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 32 $0.00
1005F 0% 352 $0.00
1110F 0% 39 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 39 $0.00
H0002 Behavioral health screening to determine eligibility for admission to treatment program 0% 100 $0.00
1123F 0% 139 $0.00
1034F 0% 27 $0.00
99402 0% 25 $0.00
4450F 0% 44 $0.00
S0257 Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) 0% 27 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 0% 32 $0.00
1033F 0% 3,481 $0.00
4013F 0% 3,191 $0.00
3016F 0% 9,391 $0.00
2028F 0% 152 $0.00
99421 0% 139 $0.00
99001 0% 54 $0.00
3725F 0% 9,779 $0.00
G8598 Aspirin or another antiplatelet therapy used 0% 1,318 $0.00
0518F 0% 361 $0.00
0556F 0% 1,283 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 0% 134 $0.00
G9383 Patient received screening for hcv infection within the 12 month reporting period 0% 891 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 0% 738 $0.00
1494F 0% 378 $0.00
1175F 0% 34 $0.00
4004F 0% 78 $0.00
G8935 Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 0% 1,222 $0.00
1090F 0% 228 $0.00
3288F 0% 413 $0.00
G9448 Patients who were born in the years 1945 to 1965 0% 130 $0.00
3015F 0% 442 $0.00
3023F 0% 113 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 0% 828 $0.00
G8404 Lower extremity neurological exam performed and documented 0% 230 $0.00
4025F 0% 128 $0.00
3045F 0% 18 $0.00
3046F 0% 13 $0.00
G9991 Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period 0% 12 $0.00
G0435 Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening 0% 113 $0.00
0403T 0% 126 $0.00
4003F 0% 14 $0.00
G9621 Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling 0% 30 $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 officialGORIS, JOSE (PRESIDENT)
Same official

Other billing entities under GORIS, JOSE

Full network →
ProviderLocationPaid
436 GWB Medical Office PCNew York, NY$30K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.