Nothstein, Gary

Nothstein, Gary was paid $3K by Medicaid between Sep 2022 and Feb 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 83% of everything it billed.

33Billing provider infoNOTHSTEIN, GARY
SHAVERTOWN, PA 18708

33aNPI1982647756assigned 06/13/2006

33bProvider typeFamily Medicine Physician

28Total paid$3K

24GClaims67

24DCodes billed2

24AFirst – last monthSep 2022 – Feb 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#2,106 of 2,756

Median peer was paid$19K

This provider vs. median0.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (03/20/2025).

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	41	$2K
2023	12	$718.30
2024incomplete	14	$457.10

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	83%	53	52	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	14	13	$504.00

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.