Loading...
NPI 1467475475 · New Iberia, LA · Obstetrics & Gynecology Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Craig Gauthier is a obstetrics & gynecology physician provider located in New Iberia, Louisiana. This profile covers 7 Medicare and 6 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 | Craig Gauthier |
| Address | 520 N Lewis St |
| City | New Iberia |
| State | LA |
| ZIP | 70563 |
| Taxonomy | Obstetrics & Gynecology Physician |
| NPI Enumerated | July 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $79.3K |
| Medicare | $8.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 100 | $40 | $3.5K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 50 | $40 | $1.8K |
| 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… | 30 | $60 | $1.6K |
| 82274 | The lab analyst uses an immunoassay method to perform a test for hidden blood in a fecal specimen that the patient collects from three consecutive bowel movements or that the clinician acquires… | 70 | $20 | $1.1K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 10 | $40 | $460 |
| 87210 | The lab analyst or microbiologist performs a wet mount preparation of a specimen, usually from material collected on a swab or placed directly on a microscope slide. | 40 | $10 | $240 |
| 81000 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 10 | $1 | $60 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 2,150 | $40 | $75.3K |
| 87210 | The lab analyst or microbiologist performs a wet mount preparation of a specimen, usually from material collected on a swab or placed directly on a microscope slide. | 870 | $1 | $1.7K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 10 | $70 | $830 |
| 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… | 10 | $50 | $660 |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 30 | $20 | $620 |
| 81000 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 30 | $1 | $30 |
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 2,845 | 2,890 | 980 | $40 | $246.8K |
| 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… | 1,245 | 3,230 | 1,120 | $30 | $204.3K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 1,278 | 1,460 | 440 | $20 | $64K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 448 | 450 | 150 | $40 | $28.4K |
| 81000 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 83 | 100 | 440 | $1 | $7.2K |
| 87210 | The lab analyst or microbiologist performs a wet mount preparation of a specimen, usually from material collected on a swab or placed directly on a microscope slide. | 32 | 90 | 430 | $1 | $3.5K |
Other providers in the same ZIP code as Craig Gauthier, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Christopher Savoy Dds LLC | LA | Dentist | $0 | $6M |
| Luis E Alvarez Md Apmc | LA | Gastroenterology Physician | $0 | $5.5M |
| Gi Diagnostic Center | LA | Ambulatory Surgical Clinic/Center | $178.4K | $2.4M |
| Luis Alvarez | LA | Gastroenterology Physician | $237.6K | $513.2K |
| Mark Charbonnet | LA | Hematology & Oncology Physician | $594.2K | $0 |
| John Lindsay | LA | Cardiovascular Disease Physician | $474.7K | $0 |
| Amy Schunemeyer | LA | Foot & Ankle Surgery Podiatrist | $240.2K | $32.3K |
| William Cenac | LA | Sports Medicine (Orthopaedic Surgery) Physician | $121.1K | $88.1K |
| Seth Rosenzweig | LA | Orthopaedic Surgery Physician | $134.4K | $0 |
| Vina Baker | LA | Internal Medicine Physician | $107K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.