Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JOSEPH C.GATHE,JR.,M.D.,P.A,

NPI: 1871620070 · HOUSTON, TX 77004 · Infectious Disease Physician · NPI assigned 02/27/2007

$133K
Total Medicaid Paid
11,513
Total Claims
7,620
Beneficiary Records
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGATHE, JOSEPH (PRESIDENT)
NPI Enumeration Date02/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,252 $5K
2019 172 $3K
2020 551 $4K
2021 3,594 $37K
2022 3,095 $50K
2023 1,553 $32K
2024 296 $2K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99233 Prolong inpt eval add15 m 1,807 457 $50K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,389 1,237 $49K
99232 Subsequent hospital care, per day, moderate complexity 1,755 307 $24K
99223 Prolong inpt eval add15 m 163 135 $10K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 705 593 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 1,171 987 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,381 1,153 $0.00
4040F 837 674 $0.00
99222 Initial hospital care, per day, moderate complexity 13 13 $0.00
G8540 Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter 97 94 $0.00
G9247 Patient had two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart 1,124 948 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 137 131 $0.00
1111F 194 187 $0.00
G8432 Depression screening not documented, reason not given 183 176 $0.00
1036F 199 192 $0.00
G8732 No documentation of pain assessment, reason not given 186 180 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 144 130 $0.00
G0008 Administration of influenza virus vaccine 14 12 $0.00
3017F 14 14 $0.00