MICHELLE GAUTHIER, DO
Family Medicine Physician · PLEASANT PRAIRIE, WI
Individual Active NPI 1265489264
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 521 | 1,573 | $433,174 | $137,324 | $95,241 |
| 2023 | 490 | 1,862 | $417,754 | $144,809 | $101,809 |
| 2022 | 698 | 1,952 | $398,197 | $137,170 | $93,341 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 568 | $120 | $77 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 160 | $85 | $45 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 156 | $72 | $56 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 155 | $45 | $35 |
| 99238 | Hospital discharge day management, 30 minutes or less | 92 | $75 | $59 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 90 | $120 | $92 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 42 | $110 | $88 |
| G0008 | Administration of influenza virus vaccine | 22 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 20 | $82 | $82 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 14 | $157 | $89 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 12 | $6 | $5 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 39272 | WI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.