Gupta, Pawan

Gupta, Pawan was paid $4K by Medicaid between Aug 2021 and Oct 2023, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 60% of everything it billed.

33Billing provider infoGUPTA, PAWAN
ALTOONA, PA 16601

33aNPI1649287012assigned 08/01/2006

33bProvider typeNephrology Physician

28Total paid$4K

24GClaims120

24DCodes billed4

24AFirst – last monthAug 2021 – Oct 2023

Compared with peers

Next to other Nephrology Physician providers in Pennsylvania

Rank by total paid#80 of 149

Median peer was paid$5K

This provider vs. median0.8×

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
2021	26	$624.44
2022	66	$2K
2023	28	$858.60

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	60%	66	14	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	23%	28	27	$858.60
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	13	13	$385.00
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	6.4%	13	13	$239.44

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.