Physician
Gusick, Edward
Gusick, Edward was paid $9K by Medicaid between Nov 2020 and Jan 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.
33Billing provider infoGUSICK, EDWARD
SELINSGROVE, PA 17870
SELINSGROVE, PA 17870
33aNPI1992974679assigned 02/26/2008
33bProvider typeSports Medicine (Emergency Medicine) Physician
28Total paid$9K
24GClaims415
24DCodes billed5
24AFirst – last monthNov 2020 – Jan 2024
Compared with peers
Next to other Sports Medicine (Emergency Medicine) Physician providers in Pennsylvania
Rank by total paid#3 of 7
Median peer was paid$4K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2020 | 13 | $271.82 | |
| 2021 | 106 | $3K | |
| 2022 | 138 | $3K | |
| 2023 | 113 | $2K | |
| 2024incomplete | 45 | $391.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 81% | 246 | 227 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 40 | 36 | $2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 71 | 67 | $0.00 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 29 | 28 | $0.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 29 | 28 | $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.