Internal Medicine, Infectious Disease · Madison, WI
NPI
1194787754
Since 2006
Specialty
Internal Medicine, Infectious Disease
Code 207RI0200X
Group practices
1
Medicare group memberships
Hospitals
2
Hospital affiliations
600 Highland Ave
Madison, WI, 53792
Phone (608) 263-0943
Groups this clinician bills Medicare through
Medicare paid, 2024
$13K
254 services
Medicare patients, 2024
76
Average age 69
Drug cost, 2024
$1.8M
1,038 prescriptions
Company payments
-
None reported
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Gregory M Gauthier was code 36415 (venipuncture blood collection), 35 times for 17 patients. In total Gregory M Gauthier billed 254 services in 27 codes, and Medicare paid $13K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2021-01-26.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 36415 Venipuncture Blood Collection | Office | 35 | 17 | $8.65 | $303 |
| 99215 Office E&M - Established | Facility | 34 | 23 | $90.85 | $3,089 |
| 99223 Hospital E&M - Initial | Facility | 23 | 21 | $127.96 | $2,943 |
| 99443 Telephone Services | Facility | 22 | 13 | $71.76 | $1,579 |
By year: 2022 $18K for 343 services; 2023 $17K for 285 services; 2024 $13K for 254 services.
Lab tests billed to Medicare, 2024
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 36415 Venipuncture Blood Collection | 35 | 17 | $8.65 | $303 |
Medicare prescription drug claims, 2024
In 2024, the drug Gregory M Gauthier prescribed most often to Medicare patients was Biktarvy (Bictegrav/Emtricit/Tenofov Ala), with 181 prescriptions and refills. In total Gregory M Gauthier wrote 1,038 Medicare prescriptions that cost $1.8M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Biktarvy Bictegrav/Emtricit/Tenofov Ala | 181 | 181 | 18 | $715K |
| Pifeltro Doravirine | 64 | 64 | Under 11 | $109K |
| Dicloxacillin Sodium Generic | 59 | 93 | Under 11 | $5,453 |
| Tivicay Dolutegravir Sodium | 48 | 48 | Under 11 | $136K |
| Descovy Emtricitabine/Tenofov Alafenam | 47 | 47 | Under 11 | $102K |
| Isentress Raltegravir Potassium | 46 | 46 | Under 11 | $87K |
| Dovato Dolutegravir Sodium/Lamivudine | 38 | 38 | Under 11 | $111K |
| Valacyclovir Valacyclovir Hcl | 35 | 47 | Under 11 | $841 |
| Rukobia Fostemsavir Tromethamine | 26 | 26 | Under 11 | $226K |
| Ritonavir Generic | 26 | 26 | Under 11 | $1,695 |
| Methenamine Hippurate Generic | 25 | 51 | Under 11 | $1,987 |
| Doxycycline Hyclate Generic | 25 | 35 | Under 11 | $325 |
| Darunavir Generic | 24 | 24 | Under 11 | $9,384 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 20 | 26 | Under 11 | $474 |
| Cefadroxil Generic | 19 | 19 | Under 11 | $422 |
Brand drugs: 523 claims; generic drugs: 515 claims.
Money and other things of value reported by the companies
No payments from drug or medical device companies to Gregory M Gauthier were reported in the years we have.
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.