Gumapas, Edwin

Gumapas, Edwin was paid $152K by Medicaid between Jan 2018 and Aug 2024, across 2 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 86% of everything it billed.

33Billing provider infoGUMAPAS, EDWIN
CRYSTAL LAKE, IL 60014

33aNPI1033101092assigned 08/16/2005

33bProvider typePsychiatry Physician

28Total paid$152K

24GClaims14,284

24DCodes billed2

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Psychiatry Physician providers in Illinois

Rank by total paid#233 of 660

Median peer was paid$68K

This provider vs. median2.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,197	$20K
2019	3,094	$22K
2020	2,138	$17K
2021	2,427	$36K
2022	2,293	$20K
2023	2,848	$29K
2024incomplete	287	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	86%	12,800	12,234	$130K
99306	Prolong nursin fac eval 15m	14%	1,484	1,461	$22K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.