Physician
Gopinathan, Saji
Gopinathan, Saji was paid $191K by Medicaid between Jan 2018 and Nov 2020, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoGOPINATHAN, SAJI
ATHENS, TN 37303
ATHENS, TN 37303
33aNPI1316049059assigned 09/02/2006
33bProvider typePediatrics Physician
28Total paid$191K
24GClaims7,623
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Pediatrics Physician providers in Tennessee
Rank by total paid#154 of 333
Median peer was paid$139K
This provider vs. median1.4×
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 | 2,629 | $66K | |
| 2019 | 2,454 | $65K | |
| 2020 | 2,540 | $60K |
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 | 57% | 2,788 | 2,515 | $108K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 1,138 | 494 | $23K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 11% | 708 | 557 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 175 | 158 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 89 | 83 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 340 | 242 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 105 | 100 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 249 | 237 | $3K |
| 99177 | 1.4% | 407 | 391 | $3K | |
| 92558 | 1.1% | 371 | 355 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.0% | 238 | 209 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 28 | 26 | $2K |
10 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 109 | $1K |
| 81002 | <1% | 205 | $599.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 34 | $489.86 |
| 85018 | <1% | 165 | $374.75 | |
| 81003 | <1% | 150 | $304.27 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 16 | $30.26 |
| 90670 | 0% | 79 | $0.00 | |
| 90648 | 0% | 35 | $0.00 | |
| 90686 | 0% | 176 | $0.00 | |
| 90723 | 0% | 18 | $0.00 |
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.