NP / PA
Gauntner, Megan
Gauntner, Megan was paid $501K by Medicaid between May 2022 and Dec 2024, across 7 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 infoGAUNTNER, MEGAN
CHERRY TREE, PA 15724
CHERRY TREE, PA 15724
33aNPI1942896451assigned 12/18/2020
33bProvider typeFamily Nurse Practitioner
28Total paid$501K
24GClaims5,322
24DCodes billed7
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Pennsylvania
Rank by total paid#34 of 1,075
Median peer was paid$8K
This provider vs. median60×
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 | |
|---|---|---|---|
| 2022 | 1,105 | $103K | |
| 2023 | 1,778 | $192K | |
| 2024incomplete | 2,439 | $206K |
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% | 2,416 | 2,141 | $501K |
| 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% | 1,520 | 1,361 | $0.00 |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 0% | 29 | 27 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 645 | 579 | $0.00 |
| 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 | 0% | 148 | 146 | $0.00 |
| 3008F | 0% | 552 | 520 | $0.00 | |
| 90686 | 0% | 12 | 12 | $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.