Physician
Agrawal, Gautam
Agrawal, Gautam was paid $3K by Medicaid between Mar 2021 and Oct 2023, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.
33Billing provider infoAGRAWAL, GAUTAM
GREENSBURG, PA 15601
GREENSBURG, PA 15601
33aNPI1063737070assigned 04/01/2010
33bProvider typeNephrology Physician
28Total paid$3K
24GClaims127
24DCodes billed2
24AFirst – last monthMar 2021 – Oct 2023
Compared with peers
Next to other Nephrology Physician providers in Pennsylvania
Rank by total paid#89 of 149
Median peer was paid$5K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2021 | 42 | $517.51 | |
| 2022 | 12 | $299.30 | |
| 2023 | 73 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 93% | 97 | 94 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.0% | 30 | 12 | $187.00 |
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.