Physician
Shalini Gupta MD INC
Shalini Gupta MD INC was paid $75K by Medicaid between Aug 2022 and Dec 2024, across 11 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 35% of everything it billed.
33Billing provider infoSHALINI GUPTA MD INC
CINCINNATI, OH 45242
CINCINNATI, OH 45242
33aNPI1063031409assigned 04/15/2020
33bProvider typeDermatology Physician
28Total paid$75K
24GClaims1,708
24DCodes billed11
24AFirst – last monthAug 2022 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in Ohio
Rank by total paid#16 of 64
Median peer was paid$17K
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2022 | 156 | $6K | |
| 2023 | 650 | $39K | |
| 2024incomplete | 902 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 35% | 342 | 331 | $26K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 23% | 400 | 380 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 334 | 289 | $9K |
| 17110 | 7.2% | 105 | 102 | $5K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.8% | 90 | 80 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.4% | 108 | 108 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.2% | 211 | 206 | $3K |
| 17000 | 3.3% | 69 | 54 | $3K | |
| 99205 | Prolong outpt/office vis | 3.2% | 25 | 25 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 12 | 12 | $806.67 |
| 17003 | <1% | 12 | 12 | $154.28 |
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.
From NPPES
Who's on the registration
Authorized officialGUPTA, SHALINI (PRESIDENT)