Sullivan, Gerald

Sullivan, Gerald was paid $350K by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.

33Billing provider infoSULLIVAN, GERALD
MILWAUKEE, WI 53210

33aNPI1760683551assigned 05/30/2007

33bProvider typeAddiction Medicine (Internal Medicine) Physician

28Total paid$350K

24GClaims10,251

24DCodes billed23

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Addiction Medicine (Internal Medicine) Physician providers in Wisconsin

Rank by total paid#4 of 8

Median peer was paid$2K

This provider vs. median197×

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	4,168	$168K
2019	1,455	$53K
2020	906	$20K
2021	1,064	$29K
2022	972	$23K
2023	892	$25K
2024incomplete	794	$32K

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	25%	3,819	2,916	$88K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	21%	1,523	1,105	$72K
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	20%	2,092	1,741	$71K
H0022	Alcohol and/or drug intervention service (planned facilitation)	11%	367	236	$38K
99348		5.7%	517	489	$20K
H0005	Alcohol and/or drug services; group counseling by a clinician	4.8%	290	182	$17K
99335		4.1%	395	346	$14K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.8%	229	211	$10K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.0%	136	108	$7K
99337		1.8%	76	65	$6K
99336		1.1%	65	59	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	32	30	$651.84

11 more codes

99401		<1%	164	$635.16
99326		<1%	13	$561.11
96127		<1%	237	$531.38
99347		<1%	13	$241.61
86580		<1%	62	$235.39
80305		<1%	23	$151.20
99000		<1%	47	$133.42
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	13	$130.91
99072		<1%	33	$37.00
36415	Collection of venous blood by venipuncture	<1%	64	$14.23
99406		0%	41	$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.