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

Goisse, Marcy

Goisse, Marcy was paid $251K by Medicaid between Oct 2020 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.

33Billing provider infoGOISSE, MARCY
SMITHFIELD, PA 15478
33aNPI1508875774assigned 08/06/2006
28Total paid$251K
24GClaims9,522
24DCodes billed20
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#287 of 2,756
Median peer was paid$19K
This provider vs. median13×

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$10K2018201920202021202220232024
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
2020268$7K
20211,903$61K
20222,715$64K
20232,626$55K
2024incomplete2,010$64K
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 53% 3,413 3,189 $134K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 3,024 2,678 $84K
87631 5.2% 101 99 $13K
G0444 Annual depression screening, 5 to 15 minutes 2.4% 660 656 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.0% 157 147 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2.0% 159 155 $5K
87428 1.4% 148 142 $4K
G0008 Administration of influenza virus vaccine <1% 40 40 $418.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 48 46 $107.34
92551 <1% 12 12 $77.21
99173 <1% 12 12 $62.80
99457 <1% 13 13 $61.45
8 more codes
90756 <1% 39 $11.00
99080 <1% 661 $3.71
99499 <1% 393 $0.43
3078F <1% 507 $0.04
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 13 $0.02
1003F <1% 24 $0.01
3079F <1% 72 $0.01
90674 0% 26 $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.