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

Gopal, Lekha

Gopal, Lekha was paid $313K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 92250, — 29% of everything it billed.

33Billing provider infoGOPAL, LEKHA
WAYNE, NJ 07470
33aNPI1689624173assigned 05/12/2006
33bProvider typeOphthalmology Physician
28Total paid$313K
24GClaims13,042
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in New Jersey

Rank by total paid#42 of 213
Median peer was paid$20K
This provider vs. median16×

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$5.0K$10K2018201920202021202220232024
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
2018883$35K
20191,345$47K
2020781$30K
20212,417$59K
20223,396$63K
20232,953$56K
2024incomplete1,267$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92250 29% 2,807 2,734 $90K
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 27% 1,258 1,236 $85K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 1,406 1,360 $51K
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 10% 787 776 $32K
92083 6.1% 789 775 $19K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3.5% 279 273 $11K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.0% 158 152 $9K
92225 2.4% 316 208 $7K
92133 <1% 158 156 $3K
92226 <1% 135 93 $2K
92202 <1% 271 268 $2K
92015 Determination of refractive state <1% 46 46 $968.98
3 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 27 $700.08
3008F <1% 2,281 $10.00
1036F 0% 2,324 $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.