Physician
Sinha, Gopal
Sinha, Gopal was paid $182K by Medicaid between Jan 2018 and May 2021, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoSINHA, GOPAL
EDISON, NJ 08817
EDISON, NJ 08817
33aNPI1306887997assigned 06/08/2006
33bProvider typeInternal Medicine Physician
28Total paid$182K
24GClaims3,849
24DCodes billed7
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#250 of 1,027
Median peer was paid$30K
This provider vs. median6.1×
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 | 1,294 | $69K | |
| 2019 | 1,237 | $59K | |
| 2020 | 1,047 | $42K | |
| 2021 | 271 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 61% | 2,477 | 1,936 | $111K |
| 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 | 37% | 1,065 | 1,016 | $66K |
| 90674 | 1.4% | 111 | 108 | $3K | |
| 36410 | <1% | 52 | 52 | $761.21 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 61 | 59 | $724.56 |
| 90688 | <1% | 15 | 15 | $208.95 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 68 | 67 | $121.62 |
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.