Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Gopal, Sireen

Gopal, Sireen was paid $314K by Medicaid between Jan 2018 and Oct 2024, across 22 billing codes. Its largest line is T1999, Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" — 62% of everything it billed.

33Billing provider infoGOPAL, SIREEN
BRONX, NY 10461
33aNPI1720183551assigned 09/14/2006
33bProvider typeSpecialist
28Total paid$314K
24GClaims4,961
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Specialist providers in New York

Rank by total paid#301 of 1,221
Median peer was paid$45K
This provider vs. median6.9×

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

$0$50K$100K2018201920202021202220232024
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
2018605$6K
20191,218$30K
20202,178$205K
2021726$70K
202243$202.47
202315$106.73
2024incomplete176$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 62% 54 54 $195K
64484 13% 355 348 $41K
64483 12% 359 350 $39K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.5% 1,082 1,063 $20K
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 3.9% 523 516 $12K
99490 Ccm add 20min <1% 352 352 $1K
99491 Ccm add 20min <1% 93 93 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 738 716 $1K
99439 <1% 87 87 $878.96
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 105 68 $596.08
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 154 153 $543.29
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 37 26 $173.24
10 more codes
20552 <1% 38 $76.82
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 426 $60.37
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). <1% 248 $8.80
97010 <1% 12 $3.32
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 39 $0.00
1036F 0% 27 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 0% 60 $0.00
3288F 0% 60 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 93 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 19 $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.