Matsumuro, Gayle

Matsumuro, Gayle was paid $501K by Medicaid between Jul 2020 and Jun 2024, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 70% of everything it billed.

33Billing provider infoMATSUMURO, GAYLE
BOISE, ID 83704

33aNPI1730712266assigned 02/12/2020

33bProvider typePsychiatric/Mental Health Nurse Practitioner

28Total paid$501K

24GClaims8,912

24DCodes billed6

24AFirst – last monthJul 2020 – Jun 2024

Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Idaho

Rank by total paid#3 of 25

Median peer was paid$30K

This provider vs. median17×

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	417	$21K
2021	1,989	$109K
2022	2,981	$170K
2023	2,288	$129K
2024incomplete	1,237	$72K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	70%	7,058	1,418	$348K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	13%	904	555	$64K
99223	Prolong inpt eval add15 m	8.6%	318	315	$43K
99239	Hospital discharge day management, more than 30 minutes	8.5%	583	576	$43K
99238	Hospital discharge day management, 30 minutes or less	<1%	29	29	$2K
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%	20	12	$1K

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.