Physician
Rupawala, Abbas
Rupawala, Abbas was paid $10K by Medicaid between Jul 2018 and Sep 2024, across 4 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 40% of everything it billed.
33Billing provider infoRUPAWALA, ABBAS
WORCESTER, MA 01655
WORCESTER, MA 01655
33aNPI1649583782assigned 07/19/2010
33bProvider typeGastroenterology Physician
28Total paid$10K
24GClaims171
24DCodes billed4
24AFirst – last monthJul 2018 – Sep 2024
Compared with peers
Next to other Gastroenterology Physician providers in Massachusetts
Rank by total paid#41 of 71
Median peer was paid$11K
This provider vs. median0.9×
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 | 14 | $1K | |
| 2020 | 26 | $2K | |
| 2021 | 30 | $3K | |
| 2023 | 74 | $1K | |
| 2024incomplete | 27 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 40% | 101 | 100 | $4K |
| 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 | 31% | 42 | 41 | $3K |
| 99223 | Prolong inpt eval add15 m | 17% | 14 | 13 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | 12% | 14 | 14 | $1K |
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.