Physician
Joseph C.Gathe,jr.,M.D.,P.A,
Joseph C.Gathe,jr.,M.D.,P.A, was paid $133K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 38% of everything it billed.
33Billing provider infoJOSEPH C.GATHE,JR.,M.D.,P.A,
HOUSTON, TX 77004
HOUSTON, TX 77004
33aNPI1871620070assigned 02/27/2007
33bProvider typeInfectious Disease Physician
28Total paid$133K
24GClaims11,513
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Infectious Disease Physician providers in Texas
Rank by total paid#22 of 110
Median peer was paid$33K
This provider vs. median4.1×
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 | |
|---|---|---|---|
| 2018 | 2,252 | $5K | |
| 2019 | 172 | $3K | |
| 2020 | 551 | $4K | |
| 2021 | 3,594 | $37K | |
| 2022 | 3,095 | $50K | |
| 2023 | 1,553 | $32K | |
| 2024incomplete | 296 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 38% | 1,807 | 457 | $50K |
| 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 | 37% | 1,389 | 1,237 | $49K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 1,755 | 307 | $24K |
| 99223 | Prolong inpt eval add15 m | 7.5% | 163 | 135 | $10K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 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) | 0% | 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 | 0% | 1,381 | 1,153 | $0.00 |
| 4040F | 0% | 837 | 674 | $0.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 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 | 0% | 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 | 0% | 1,124 | 948 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 137 | 131 | $0.00 |
7 more codes
| 1111F | 0% | 194 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 183 | $0.00 |
| 1036F | 0% | 199 | $0.00 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 186 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 144 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| 3017F | 0% | 14 | $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.
From NPPES
Who's on the registration
Authorized officialGATHE, JOSEPH (PRESIDENT)