Physician
Gumbel, Francis
Gumbel, Francis was paid $274K by Medicaid between Jan 2018 and Jul 2023, across 8 billing codes. Its largest line is 99444, — 81% of everything it billed.
33Billing provider infoGUMBEL, FRANCIS
BROWNSVILLE, TX 78520
BROWNSVILLE, TX 78520
33aNPI1912975251assigned 03/11/2006
33bProvider typeInternal Medicine Physician
28Total paid$274K
24GClaims10,959
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#103 of 1,028
Median peer was paid$10K
This provider vs. median26×
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 | 3,275 | $90K | |
| 2019 | 3,452 | $138K | |
| 2020 | 2,775 | $39K | |
| 2021 | 1,151 | $7K | |
| 2022 | 214 | $0.00 | |
| 2023 | 92 | $612.57 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99444 | 81% | 3,874 | 955 | $222K | |
| 99421 | 15% | 2,403 | 558 | $42K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 858 | 709 | $10K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,380 | 1,064 | $0.00 |
| 0521F | 0% | 204 | 169 | $0.00 | |
| 1125F | 0% | 301 | 246 | $0.00 | |
| 1126F | 0% | 446 | 372 | $0.00 | |
| 1170F | 0% | 1,493 | 1,154 | $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.