Physician
T. Gopal & Associates, M.D., P.A.
T. Gopal & Associates, M.D., P.A. was paid $137K by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 49% of everything it billed.
33Billing provider infoT. GOPAL & ASSOCIATES, M.D., P.A.
HOUSTON, TX 77089
HOUSTON, TX 77089
33aNPI1316154073assigned 05/16/2007
33bProvider typeInternal Medicine Physician
28Total paid$137K
24GClaims50,031
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#186 of 1,028
Median peer was paid$10K
This provider vs. median13×
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 | 4,186 | $3K | |
| 2019 | 4,725 | $3K | |
| 2020 | 6,513 | $7K | |
| 2021 | 9,003 | $20K | |
| 2022 | 10,868 | $23K | |
| 2023 | 10,527 | $53K | |
| 2024incomplete | 4,209 | $27K |
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 | 49% | 4,613 | 759 | $67K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 1,750 | 1,401 | $33K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 12% | 5,066 | 3,898 | $17K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 8.3% | 1,628 | 1,341 | $11K |
| 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 | 3.7% | 150 | 122 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.9% | 62 | 57 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 37 | 37 | $726.85 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | 12 | $523.88 |
| 99318 | <1% | 40 | 38 | $282.90 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | <1% | 2,798 | 2,099 | $159.25 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 1,807 | 1,303 | $104.30 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 379 | 321 | $44.10 |
39 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $23.91 |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | <1% | 334 | $21.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,932 | $10.00 |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 95 | $5.25 |
| A4657 | Syringe, with or without needle, each | <1% | 47 | $3.15 |
| A4245 | Alcohol wipes, per box | <1% | 129 | $1.75 |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 28 | $0.70 |
| 1111F | 0% | 269 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,277 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 322 | $0.00 |
| G9707 | Patient received hospice services any time during the measurement period | 0% | 1,845 | $0.00 |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 1,340 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 340 | $0.00 |
| 1101F | 0% | 258 | $0.00 | |
| 1036F | 0% | 403 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 132 | $0.00 |
| G2181 | Bmi not documented due to medical reason or patient refusal of height or weight measurement | 0% | 335 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 31 | $0.00 |
| G9745 | Documented reason for not screening or recommending a follow-up for high blood pressure | 0% | 95 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 16 | $0.00 |
| 82962 | 0% | 15 | $0.00 | |
| G9720 | Hospice services for patient occurred any time during the measurement period | 0% | 16 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 4,049 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 583 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 4,196 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,594 | $0.00 |
| G9996 | Documentation stating the patient has received or is currently receiving palliative or hospice care | 0% | 804 | $0.00 |
| G9718 | Hospice services for patient provided any time during the measurement period | 0% | 1,324 | $0.00 |
| 3288F | 0% | 1,025 | $0.00 | |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 163 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 337 | $0.00 |
| G9997 | Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter | 0% | 463 | $0.00 |
| 4040F | 0% | 376 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 310 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 96 | $0.00 |
| 99307 | 0% | 14 | $0.00 | |
| A6413 | Adhesive bandage, first-aid type, any size, each | 0% | 47 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 13 | $0.00 |
| 0518F | 0% | 22 | $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.
From NPPES
Who's on the registration
Authorized officialGOPALAKRISHNAN, THANDAVARAJAN (OWNER)