Gupta, Pavan

Gupta, Pavan was paid $38K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 68% of everything it billed.

33Billing provider infoGUPTA, PAVAN
O FALLON, IL 62269

33aNPI1861519563assigned 03/26/2007

33bProvider typeHospitalist Physician

28Total paid$38K

24GClaims3,255

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Hospitalist Physician providers in Illinois

Rank by total paid#165 of 514

Median peer was paid$19K

This provider vs. median2.0×

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	363	$4K
2019	489	$6K
2020	728	$8K
2021	296	$4K
2022	464	$6K
2023	411	$5K
2024incomplete	504	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	68%	2,723	2,370	$26K
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	17%	256	231	$7K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	15%	276	260	$6K

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.