Behavioral
Gautam, Rishi
Gautam, Rishi was paid $58K by Medicaid between Apr 2018 and Dec 2019, across 3 billing codes. Its largest line is 99254, — 74% of everything it billed.
33Billing provider infoGAUTAM, RISHI
BALTIMORE, MD 21215
BALTIMORE, MD 21215
33aNPI1740540921assigned 05/22/2012
33bProvider typePsychologist
28Total paid$58K
24GClaims474
24DCodes billed3
24AFirst – last monthApr 2018 – Dec 2019
Compared with peers
Next to other Psychologist providers in Maryland
Rank by total paid#18 of 41
Median peer was paid$42K
This provider vs. median1.4×
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
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 | 106 | $16K | |
| 2019 | 368 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99254 | 74% | 260 | 258 | $43K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 24% | 189 | 134 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 25 | 25 | $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.