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NPI 1144285859 · Providence, RI · Internal Medicine Physician
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Walter Goula is a internal medicine physician provider located in Providence, Rhode Island. This profile covers 16 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Walter Goula |
| Address | 180 Corliss St Ste B |
| City | Providence |
| State | RI |
| ZIP | 02904 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | April 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $203.7K |
| Medicare | $33.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 410 | $30 | $13.9K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 130 | $40 | $5.9K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 150 | $20 | $2.8K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 50 | $40 | $1.9K |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 10 | $170 | $1.8K |
| G0444 | Annual depression screening, 5 to 15 minutes | 90 | $20 | $1.6K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 20 | $50 | $880 |
| G0008 | Administration of influenza virus vaccine | 30 | $30 | $870 |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 80 | $10 | $830 |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 20 | $40 | $630 |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 132 | 1,950 | 100 | $80 | $11.7K |
| G0439 | 75 | 450 | 60 | $100 | $7.7K |
| 99213 | 1,232 | 1,950 | 70 | $60 | $7.4K |
| 90480 | 146 | 160 | 90 | $40 | $5.8K |
| 99215 | 359 | 460 | 30 | $110 | $5.7K |
| G0008 | 242 | 420 | 30 | $30 | $2.5K |
| G0402 | 10 | 20 | 10 | $150 | $2K |
| 99495 | 30 | 40 | 10 | $110 | $1.9K |
| G0444 | 22 | 80 | 50 | $20 | $1.3K |
| 83036 | 19 | 190 | 30 | $10 | $1.2K |
Showing 1–10 of 16
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,740 | $80 | $132.5K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 610 | $60 | $34K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 560 | $30 | $17.4K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 140 | $50 | $6.4K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 70 | $80 | $5.5K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 210 | $10 | $2.1K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 110 | $20 | $1.7K |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 340 | $1 | $1K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 20 | $60 | $920 |
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 10 | $60 | $830 |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 37 | 50 | 50 | $50 | $168.1K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 69 | 140 | 140 | $30 | $99.7K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 81 | 100 | 120 | $40 | $93K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 215 | 1,730 | 220 | $70 | $75.2K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 741 | 2,050 | 300 | $50 | $72.3K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 31 | 160 | 90 | $20 | $60.3K |
| 82962 | Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained… | 50 | 50 | 110 | $60 | $42K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 77 | 240 | 70 | $10 | $37.7K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 148 | 210 | 100 | $20 | $31.6K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 63 | 150 | 50 | $70 | $9.1K |
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Other providers in the same ZIP code as Walter Goula, ranked by combined Medicare and Medicaid revenue.
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