Physician

Susan J Gouge, DO

According to 2025 Medicare claims, Susan Gouge, DO (NPI: 1972537512) practices family practice in the Chattanooga, TN-GA market, with the plurality of this provider's patient population coming from Catoosa, GA. This provider's primary affiliated billing organization is ERLANGER HEALTH (NPI: 1871295709; TIN: 883616696) and primary practice location at 30736-3179. Gouge is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), participating under the MSSP model.

Gouge's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 76 traditional Medicare patients, billed 495 HCPCS/CPT codes, and received $23,518 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 2,818 prescription claims across 405 beneficiaries totaling $244,091 in drug costs, led by Ozempic (Semaglutide). DME data shows 46 claims. Open Payments data shows 23 records totaling $480. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $108,651 to $23,518. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $64,640 to $244,091. For DME billing, this smaller-volume category fell sharply in recent years, from $42,893 to $4,002.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	307	1,499	$108,651
2016	254	1,247	$93,366
2017	347	1,272	$100,163
2018	498	1,155	$104,023
2019	396	586	$53,829
2020	115	2,089	$40,258
2021	174	3,005	$72,914
2022	199	3,366	$84,314
2023	172	2,725	$67,135
2024	76	495	$23,518

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	175	1,506	$64,640
2016	147	1,473	$59,298
2017	213	2,354	$93,826
2018	271	2,489	$123,328
2019	214	1,464	$85,259
2020	205	1,966	$143,305
2021	311	3,752	$376,461
2022	376	5,681	$490,242
2023	391	5,468	$510,776
2024	405	2,818	$244,091

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	296	849	$34,250
2016	221	771	$23,749
2017	145	544	$17,701
2018	355	918	$85,415
2019	267	998	$39,270
2020	N/R	118	$2,252
2021	N/R	69	$2,829
2022	N/R	38	$1,068
2023	N/R	90	$5,537
2024	N/R	46	$1,146

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	23	$141
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$129
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	76	$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	34	48	$13
81002	Urinalysis, manual test	19	24	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	22	1,279	$40,870
Eliquis	Apixaban	41	1,480	$27,780
Mounjaro	Tirzepatide	20	731	$26,373
Jardiance	Empagliflozin	20	1,108	$21,146
Esomeprazole Magnesium	Esomeprazole Magnesium	14	1,260	$1,612

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	11	$668
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	18	$354
E0570	Nebulizer, with compressor	Y	N/R	17	$125

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	23	$480	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Susan J. Gouge, DO?

Tedicare shows public-source Medicare data for Susan J. Gouge, DO (NPI 1972537512), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Susan J. Gouge, DO have ACO affiliation data?

Susan J. Gouge, DO is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604).

What billing organization is linked to Susan J. Gouge, DO?

Susan J. Gouge, DO is linked to ERLANGER HEALTH (billing NPI 1871295709) in the available physician profile data.

Does Susan J. Gouge, DO have Open Payments data?

Susan J. Gouge, DO has 23 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.