SUSAN GOUGE, DO
Family Medicine Physician · OOLTEWAH, TN
Individual Active NPI 1972537512
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 76 | 495 | $54,164 | $27,525 | $23,518 |
| 2023 | 172 | 2,725 | $222,210 | $78,607 | $67,135 |
| 2022 | 199 | 3,366 | $269,627 | $99,738 | $84,314 |
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 | 76 | $125 | $100 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 48 | $16 | $13 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 25 | $129 | $129 |
| 81002 | Urinalysis, manual test | 24 | $3 | $3 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 23 | $176 | $141 |
| 90653 | Influenza vaccine, inactivated | 17 | $82 | $82 |
| G0008 | Administration of influenza virus vaccine | 17 | $30 | $30 |
| 83036 | Hemoglobin a1c level | 17 | $10 | $10 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 14 | $164 | $133 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | DO0000001721 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Family Medicine Physician providers in Tennessee
- NPI 1902825102
- NPI 1710548037
- NPI 1851560700
- NPI 1659069847
- NPI 1619954575
- NPI 1235114893
- NPI 1912984576
- NPI 1710090972
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.