Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Sewickley › NPI 1720033244
Physician

Goltz, Gerald

Goltz, Gerald was paid $44K by Medicaid between Jan 2021 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.

33Billing provider infoGOLTZ, GERALD
SEWICKLEY, PA 15143
33aNPI1720033244assigned 05/23/2006
33bProvider typeNephrology Physician
28Total paid$44K
24GClaims1,214
24DCodes billed5
24AFirst – last monthJan 2021 – Oct 2024
Compared with peers

Next to other Nephrology Physician providers in Pennsylvania

Rank by total paid#27 of 149
Median peer was paid$5K
This provider vs. median9.7×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2021324$10K
2022338$11K
2023334$13K
2024incomplete218$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 81% 921 908 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11% 213 196 $5K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 6.4% 44 44 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.3% 24 24 $577.50
95251 <1% 12 12 $355.24

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.