Physician
Gautam, Sagun
Gautam, Sagun was paid $1.85M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 54% of everything it billed.
33Billing provider infoGAUTAM, SAGUN
WILLOWBROOK, IL 60527
WILLOWBROOK, IL 60527
33aNPI1205049046assigned 05/08/2007
33bProvider typeFamily Medicine Physician
28Total paid$1.85M
24GClaims46,528
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#48 of 2,947
Median peer was paid$43K
This provider vs. median43×
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 | 3,375 | $72K | |
| 2019 | 5,198 | $112K | |
| 2020 | 9,542 | $320K | |
| 2021 | 4,917 | $240K | |
| 2022 | 6,996 | $302K | |
| 2023 | 9,065 | $408K | |
| 2024incomplete | 7,435 | $396K |
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 | 54% | 28,637 | 7,362 | $989K |
| 99223 | Prolong inpt eval add15 m | 18% | 4,242 | 3,812 | $337K |
| 99222 | Initial hospital care, per day, moderate complexity | 9.1% | 2,443 | 2,216 | $168K |
| 99306 | Prolong nursin fac eval 15m | 6.5% | 1,679 | 1,527 | $120K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.4% | 4,092 | 2,846 | $82K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.7% | 2,900 | 2,598 | $69K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.8% | 1,266 | 1,164 | $33K |
| 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 | 1.2% | 294 | 289 | $21K |
| 99221 | <1% | 283 | 262 | $9K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 334 | 112 | $7K |
| 99253 | <1% | 157 | 150 | $6K | |
| 99254 | <1% | 106 | 93 | $4K |
4 more codes
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.