Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Sterling › NPI 1376632422
Physician

Gopal, Rajan

Gopal, Rajan was paid $6K by Medicaid between Jan 2018 and Mar 2019, across 7 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 69% of everything it billed.

33Billing provider infoGOPAL, RAJAN
STERLING, IL 61081
33aNPI1376632422assigned 10/12/2006
28Total paid$6K
24GClaims646
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers

Next to other Cardiovascular Disease Physician providers in Illinois

Rank by total paid#557 of 678
Median peer was paid$36K
This provider vs. median0.2×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2018550$5K
201996$717.67
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 69% 557 500 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 8.2% 13 12 $449.80
93016 6.2% 19 16 $340.28
93018 6.1% 19 16 $336.85
93000 5.2% 13 13 $287.95
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 4.3% 13 13 $235.50
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.5% 12 12 $81.90

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.