Gilbert Goliath MD PLLC
Gilbert Goliath MD PLLC was paid $716K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoGILBERT GOLIATH MD PLLC
SOUTH CHARLESTON, WV 25309
SOUTH CHARLESTON, WV 25309
33aNPI1700126257assigned 02/20/2013
33bProvider typeSpecialist
28Total paid$716K
24GClaims19,691
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in West Virginia
Rank by total paid#18 of 71
Median peer was paid$232K
This provider vs. median3.1×
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 | 2,393 | $106K | |
| 2019 | 1,330 | $59K | |
| 2020 | 3,366 | $128K | |
| 2021 | 2,845 | $96K | |
| 2022 | 4,191 | $137K | |
| 2023 | 4,466 | $148K | |
| 2024incomplete | 1,100 | $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 | 41% | 5,513 | 4,889 | $292K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 2,132 | 2,005 | $139K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 1,418 | 1,375 | $106K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 7.0% | 3,122 | 2,994 | $50K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 6.2% | 2,177 | 2,102 | $44K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 480 | 467 | $38K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 304 | 299 | $27K |
| 90686 | <1% | 691 | 673 | $4K | |
| 90670 | <1% | 984 | 943 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 102 | 97 | $3K |
| 90648 | <1% | 1,065 | 1,003 | $3K | |
| 90474 | <1% | 211 | 200 | $1K |
13 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 17 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 83 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 79 | $1K |
| 90723 | <1% | 699 | $931.99 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | $654.63 |
| 90685 | <1% | 13 | $473.29 | |
| 83655 | <1% | 37 | $412.98 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 17 | $100.84 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 17 | $32.96 |
| 90681 | <1% | 258 | $21.56 | |
| 90677 | <1% | 72 | $0.38 | |
| 90710 | <1% | 93 | $0.02 | |
| 90633 | <1% | 88 | $0.02 |
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 officialGOLIATH, GILBERT (OWNER)