NP / PA
J. Mike Guiler, MD, PLLC
J. Mike Guiler, MD, PLLC was paid $31K by Medicaid between Feb 2022 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoJ. MIKE GUILER, MD, PLLC
LEXINGTON, KY 40513
LEXINGTON, KY 40513
33aNPI1821752502assigned 10/28/2021
33bProvider typeObstetrics & Gynecology Nurse Practitioner
28Total paid$31K
24GClaims1,170
24DCodes billed5
24AFirst – last monthFeb 2022 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Nurse Practitioner providers in Kentucky
Rank by total paid#6 of 7
Median peer was paid$416K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 325 | $7K | |
| 2023 | 637 | $16K | |
| 2024incomplete | 208 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 497 | 360 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 343 | 289 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 182 | 140 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.0% | 15 | 12 | $932.80 |
| 81003 | <1% | 133 | 76 | $117.91 |
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 officialGUILER, J (MD)