Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician NPI deactivated

Bhalala, Gopal

Bhalala, Gopal was paid $114K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 96% of everything it billed.

33Billing provider infoBHALALA, GOPAL
ZION, IL 60099
33aNPI1669473963assigned 08/09/2005
28Total paid$114K
24GClaims2,927
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#688 of 3,722
Median peer was paid$26K
This provider vs. median4.4×

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$2.0K$4.0K2018201920202021202220232024
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
2018314$5K
2019592$9K
2020773$24K
2021389$20K
2022383$22K
2023265$16K
2024incomplete211$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 96% 2,210 1,933 $110K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3.7% 444 418 $4K
3074F 0% 131 97 $0.00
1220F 0% 31 29 $0.00
1036F 0% 16 15 $0.00
3078F 0% 95 73 $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.