Gawalt, Susan

Gawalt, Susan was paid $32K by Medicaid between Jan 2018 and Sep 2018, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoGAWALT, SUSAN
WINCHESTER, VA 22601

33aNPI1548294853assigned 07/10/2006

33bProvider typePediatrics Physician

28Total paid$32K

24GClaims696

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#399 of 817

Median peer was paid$29K

This provider vs. median1.1×

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	696	$32K

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	50%	279	252	$16K
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	38%	149	137	$12K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	7.5%	164	82	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.4%	52	51	$742.06
99050		1.1%	27	27	$346.68
87070		<1%	25	25	$219.50

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.