Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Gudgeon, Nichole

Gudgeon, Nichole was paid $9K by Medicaid between Jan 2018 and May 2019, across 8 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 33% of everything it billed.

33Billing provider infoGUDGEON, NICHOLE
KILLEEN, TX 76543
33aNPI1508316647assigned 10/13/2016
33bProvider typePhysician Assistant
28Total paid$9K
24GClaims180
24DCodes billed8
24AFirst – last monthJan 2018 – May 2019
Compared with peers

Next to other Physician Assistant providers in Texas

Rank by total paid#108 of 161
Median peer was paid$43K
This provider vs. median0.2×

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$2.0K$4.0K2018201920202021202220232024
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
201880$4K
2019100$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 33% 43 43 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 38 38 $2K
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 19% 29 28 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 16% 14 14 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6.0% 18 18 $508.11
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.2% 12 12 $354.24
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.4% 14 14 $205.77
99051 1.4% 12 12 $115.20

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.