Gould, Jim

Gould, Jim was paid $34K by Medicaid between Oct 2018 and Feb 2021, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.

33Billing provider infoGOULD, JIM
TOOELE, UT 84074

33aNPI1649200296assigned 07/03/2006

33bProvider typePediatrics Physician

28Total paid$34K

24GClaims916

24DCodes billed7

24AFirst – last monthOct 2018 – Feb 2021

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#118 of 299

Median peer was paid$16K

This provider vs. median2.1×

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	13	$81.30
2019	256	$10K
2020	609	$21K
2021	38	$3K

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	81%	416	365	$28K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	6.9%	253	250	$2K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.8%	13	13	$2K
90686		4.4%	109	109	$1K
90472	Immunization administration, each additional vaccine (list separately)	3.0%	100	100	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	0%	13	13	$0.00
90698		0%	12	12	$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.