Sharma, Gopesh

Sharma, Gopesh was paid $60K by Medicaid between Dec 2019 and Sep 2021, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 50% of everything it billed.

33Billing provider infoSHARMA, GOPESH
FAIRFAX, VA 22031

33aNPI1194822783assigned 09/17/2006

33bProvider typeOtolaryngology Physician

28Total paid$60K

24GClaims684

24DCodes billed3

24AFirst – last monthDec 2019 – Sep 2021

Compared with peers

Next to other Otolaryngology Physician providers in Virginia

Rank by total paid#14 of 67

Median peer was paid$5K

This provider vs. median11×

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
2019	36	$3K
2020	323	$29K
2021	325	$28K

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	50%	278	259	$30K
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	33%	325	279	$19K
31231		18%	81	75	$11K

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.