Physician
Gupta, Nisha
Gupta, Nisha was paid $123K by Medicaid between Jan 2018 and Oct 2022, across 25 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 25% of everything it billed.
33Billing provider infoGUPTA, NISHA
WHEATON, IL 60187
WHEATON, IL 60187
33aNPI1659665263assigned 06/01/2011
33bProvider typeOphthalmology Physician
28Total paid$123K
24GClaims6,848
24DCodes billed25
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Ophthalmology Physician providers in Illinois
Rank by total paid#140 of 431
Median peer was paid$34K
This provider vs. median3.6×
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 | 6,807 | $119K | |
| 2022 | 41 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 25% | 194 | 152 | $31K |
| 92250 | 16% | 826 | 744 | $20K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 681 | 599 | $20K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 15% | 395 | 359 | $18K |
| 92285 | 13% | 980 | 887 | $16K | |
| J9035 | Injection, bevacizumab, 10 mg | 8.9% | 205 | 143 | $11K |
| 92134 | 2.6% | 197 | 159 | $3K | |
| 92083 | 1.3% | 78 | 72 | $2K | |
| 92015 | Determination of refractive state | <1% | 58 | 56 | $1K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 84 | 78 | $987.70 |
| 92133 | <1% | 53 | 51 | $655.97 | |
| 76514 | <1% | 144 | 130 | $637.62 |
13 more codes
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 378 | $0.00 |
| 2022F | 0% | 181 | $0.00 | |
| 2024F | 0% | 108 | $0.00 | |
| 5010F | 0% | 20 | $0.00 | |
| 2026F | 0% | 108 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 333 | $0.00 |
| 2027F | 0% | 52 | $0.00 | |
| 0517F | 0% | 52 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 720 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 379 | $0.00 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 81 | $0.00 |
| 1036F | 0% | 441 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 100 | $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.