Physician
Coy W Gammage JR Apmc
Coy W Gammage JR Apmc was paid $17K by Medicaid between Jan 2018 and Sep 2022, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.
33Billing provider infoCOY W GAMMAGE JR APMC
MONROE, LA 71201
MONROE, LA 71201
33aNPI1548594419assigned 09/25/2009
33bProvider typeHematology & Oncology Physician
28Total paid$17K
24GClaims13,145
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Hematology & Oncology Physician providers in Louisiana
Rank by total paid#12 of 21
Median peer was paid$24K
This provider vs. median0.7×
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 | 2,622 | $4K | |
| 2019 | 3,219 | $4K | |
| 2020 | 2,788 | $3K | |
| 2021 | 2,791 | $3K | |
| 2022 | 1,725 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 84% | 2,699 | 1,648 | $14K |
| 80053 | Comprehensive metabolic panel | 6.7% | 2,652 | 1,846 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 3.9% | 2,076 | 1,515 | $648.84 |
| 83615 | 3.5% | 2,591 | 1,833 | $590.61 | |
| 36415 | Collection of venous blood by venipuncture | 1.1% | 2,739 | 1,865 | $183.58 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 13 | 13 | $55.50 |
| 82728 | <1% | 51 | 39 | $27.10 | |
| 85027 | <1% | 86 | 70 | $19.32 | |
| 85007 | <1% | 85 | 70 | $7.47 | |
| 83735 | 0% | 77 | 51 | $0.00 | |
| 84100 | 0% | 76 | 50 | $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 officialGAMMAGE, COY (PRESIDENT)