Physician
Gilbert R Ghearing
Gilbert R Ghearing was paid $157K by Medicaid between Jan 2018 and May 2019, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.
33Billing provider infoGILBERT R GHEARING
CELINA, TN 38551
CELINA, TN 38551
33aNPI1558662379assigned 11/10/2010
33bProvider typeFamily Medicine Physician
28Total paid$157K
24GClaims6,833
24DCodes billed17
24AFirst – last monthJan 2018 – May 2019
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#192 of 754
Median peer was paid$34K
This provider vs. median4.7×
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 | 4,997 | $115K | |
| 2019 | 1,836 | $42K |
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 | 77% | 3,805 | 2,583 | $120K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 779 | 633 | $17K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.4% | 596 | 460 | $8K |
| 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 | 3.6% | 127 | 103 | $6K |
| 3008F | <1% | 210 | 126 | $1K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 19 | 13 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 943 | 781 | $1K |
| 90686 | <1% | 54 | 51 | $579.78 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 28 | 25 | $547.34 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 61 | 53 | $316.25 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 15 | 12 | $309.38 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 23 | 13 | $195.47 |
5 more codes
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 officialGHEARING, GILBERT (OWNER)