Gupta, Shipra

Gupta, Shipra was paid $4K by Medicaid between Jul 2019 and Nov 2021, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 36% of everything it billed.

33Billing provider infoGUPTA, SHIPRA
BLOOMINGDALE, IL 60108

33aNPI1609168681assigned 05/09/2011

33bProvider typeOphthalmology Physician

28Total paid$4K

24GClaims139

24DCodes billed4

24AFirst – last monthJul 2019 – Nov 2021

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#335 of 431

Median peer was paid$34K

This provider vs. median0.1×

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
2019	19	$789.65
2020	80	$2K
2021	40	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	36%	54	51	$2K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	33%	35	28	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	28	27	$951.94
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	8.9%	22	19	$376.75

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.