Physician
Gopi, Shanthi
Gopi, Shanthi was paid $3.19M by Medicaid between Jan 2018 and Oct 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoGOPI, SHANTHI
JOLIET, IL 60432
JOLIET, IL 60432
33aNPI1821012410assigned 07/27/2006
33bProvider typePediatrics Physician
28Total paid$3.19M
24GClaims93,020
24DCodes billed56
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#19 of 1,805
Median peer was paid$55K
This provider vs. median58×
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 | 6,727 | $221K | |
| 2019 | 8,496 | $297K | |
| 2020 | 18,857 | $558K | |
| 2021 | 16,200 | $529K | |
| 2022 | 17,857 | $604K | |
| 2023 | 13,801 | $534K | |
| 2024incomplete | 11,082 | $441K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 27,609 | 22,105 | $1.31M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 5,456 | 4,702 | $386K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 4,527 | 3,993 | $355K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.7% | 3,886 | 2,991 | $278K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 2,472 | 2,033 | $163K |
| 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 | 4.9% | 2,076 | 1,836 | $157K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 5,256 | 4,435 | $84K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 3,435 | 3,139 | $53K |
| 90651 | 1.4% | 2,347 | 1,881 | $45K | |
| 90670 | 1.2% | 2,060 | 1,571 | $38K | |
| 92558 | 1.2% | 3,134 | 2,496 | $38K | |
| 90686 | 1.0% | 3,407 | 2,740 | $32K |
44 more codes
| D1206 | Topical application of fluoride varnish | <1% | 1,133 | $29K |
| 96127 | <1% | 3,627 | $29K | |
| 90633 | <1% | 2,008 | $20K | |
| 90619 | <1% | 1,148 | $20K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,026 | $18K |
| 90700 | <1% | 1,469 | $13K | |
| 90680 | <1% | 1,117 | $12K | |
| 90647 | <1% | 1,293 | $12K | |
| 90723 | <1% | 1,114 | $10K | |
| 90734 | <1% | 740 | $10K | |
| 90715 | <1% | 786 | $8K | |
| 90710 | <1% | 683 | $7K | |
| 83655 | <1% | 606 | $7K | |
| 90697 | <1% | 377 | $6K | |
| 90713 | <1% | 711 | $6K | |
| 90671 | <1% | 135 | $5K | |
| 90716 | <1% | 337 | $4K | |
| 90677 | <1% | 197 | $4K | |
| 99381 | <1% | 44 | $4K | |
| 90707 | <1% | 306 | $4K | |
| 0071A | <1% | 159 | $2K | |
| 36416 | <1% | 556 | $2K | |
| 85018 | <1% | 995 | $2K | |
| 0072A | <1% | 139 | $2K | |
| 0002A | <1% | 50 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 30 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 71 | $2K |
| 0001A | <1% | 70 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 31 | $2K |
| 99383 | <1% | 17 | $2K | |
| 90696 | <1% | 74 | $1K | |
| 90623 | <1% | 19 | $267.36 | |
| 90648 | <1% | 41 | $262.40 | |
| 90656 | <1% | 26 | $217.23 | |
| 81002 | <1% | 61 | $150.80 | |
| 90461 | <1% | 1,602 | $116.41 | |
| 90744 | <1% | 22 | $89.60 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,972 | $48.59 |
| 97803 | <1% | 308 | $45.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 54 | $12.10 |
| 91300 | <1% | 48 | $0.12 | |
| 91307 | <1% | 124 | $0.08 | |
| 99188 | 0% | 16 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 13 | $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.