NP / PA
Gould, Lela
Gould, Lela was paid $5K by Medicaid between Dec 2019 and Dec 2019, across 2 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoGOULD, LELA
SPRINGFIELD, PA 19064
SPRINGFIELD, PA 19064
33aNPI1942621040assigned 12/17/2013
33bProvider typeFamily Nurse Practitioner
28Total paid$5K
24GClaims37
24DCodes billed2
24AFirst – last monthDec 2019 – Dec 2019
Compared with peers
Next to other Family Nurse Practitioner providers in Pennsylvania
Rank by total paid#620 of 1,075
Median peer was paid$8K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2019 | 37 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 22 | 22 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 15 | 13 | $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.