Physician
Bhanushali, Gautam
Bhanushali, Gautam was paid $447K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 34% of everything it billed.
33Billing provider infoBHANUSHALI, GAUTAM
CHICAGO, IL 60629
CHICAGO, IL 60629
33aNPI1073829990assigned 08/30/2010
33bProvider typeNephrology Physician
28Total paid$447K
24GClaims9,892
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in Illinois
Rank by total paid#15 of 327
Median peer was paid$68K
This provider vs. median6.6×
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 | |
|---|---|---|---|
| 2018 | 874 | $15K | |
| 2019 | 1,047 | $41K | |
| 2020 | 2,156 | $88K | |
| 2021 | 1,771 | $80K | |
| 2022 | 1,551 | $71K | |
| 2023 | 1,318 | $74K | |
| 2024incomplete | 1,175 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 34% | 6,316 | 2,514 | $153K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 30% | 1,020 | 981 | $133K |
| 90966 | 12% | 455 | 445 | $56K | |
| 99223 | Prolong inpt eval add15 m | 7.6% | 456 | 408 | $34K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.5% | 803 | 311 | $29K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.5% | 374 | 357 | $16K |
| 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 | 3.0% | 302 | 286 | $13K |
| 90961 | 2.2% | 85 | 84 | $10K | |
| 90962 | <1% | 12 | 12 | $2K | |
| 36902 | <1% | 14 | 13 | $544.12 | |
| 99152 | <1% | 55 | 50 | $453.22 |
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.