Physician
Gehlbach, Thomas
Gehlbach, Thomas was paid $25K by Medicaid between Mar 2018 and May 2023, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.
33Billing provider infoGEHLBACH, THOMAS
MADISON, WI 53715
MADISON, WI 53715
33aNPI1891905600assigned 05/23/2007
33bProvider typePulmonary Disease Physician
28Total paid$25K
24GClaims956
24DCodes billed5
24AFirst – last monthMar 2018 – May 2023
Compared with peers
Next to other Pulmonary Disease Physician providers in Wisconsin
Rank by total paid#7 of 20
Median peer was paid$10K
This provider vs. median2.5×
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 | 26 | $567.70 | |
| 2019 | 190 | $5K | |
| 2020 | 255 | $6K | |
| 2021 | 317 | $10K | |
| 2022 | 144 | $3K | |
| 2023 | 24 | $271.68 |
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 | 94% | 809 | 730 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 41 | 40 | $500.16 |
| Q3014 | Telehealth originating site facility fee | 1.6% | 16 | 16 | $400.00 |
| 94726 | 1.5% | 45 | 40 | $378.10 | |
| 94729 | 1.1% | 45 | 40 | $282.05 |
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.