Physician
Gotha, Heather
Gotha, Heather was paid $41K by Medicaid between Oct 2020 and Jun 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.
33Billing provider infoGOTHA, HEATHER
SPRINGFIELD, MA 01107
SPRINGFIELD, MA 01107
33aNPI1669600920assigned 06/25/2009
33bProvider typeOrthopaedic Surgery Physician
28Total paid$41K
24GClaims886
24DCodes billed5
24AFirst – last monthOct 2020 – Jun 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Massachusetts
Rank by total paid#40 of 166
Median peer was paid$10K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2020 | 135 | $7K | |
| 2021 | 378 | $17K | |
| 2022 | 270 | $13K | |
| 2023 | 90 | $4K | |
| 2024incomplete | 13 | $811.66 |
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 | 76% | 538 | 509 | $31K |
| 73630 | 17% | 271 | 219 | $7K | |
| 73610 | 3.0% | 43 | 39 | $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 | 2.9% | 14 | 14 | $1K |
| 73600 | 1.2% | 20 | 17 | $486.64 |
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.