Gouda, M

Gouda, M was paid $68K by Medicaid between Oct 2020 and Feb 2022, across 6 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 53% of everything it billed.

33Billing provider infoGOUDA, M
PHILADELPHIA, PA 19115

33aNPI1831197946assigned 07/12/2005

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$68K

24GClaims1,158

24DCodes billed6

24AFirst – last monthOct 2020 – Feb 2022

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Pennsylvania

Rank by total paid#32 of 148

Median peer was paid$8K

This provider vs. median9.0×

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	159	$7K
2021	889	$54K
2022	110	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	53%	607	499	$36K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	35%	438	381	$24K
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	5.4%	68	67	$4K
64493		4.0%	15	14	$3K
64495		1.1%	15	14	$764.54
64494		1.1%	15	14	$754.60

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.