Gyawali, Smita

Gyawali, Smita was paid $47K by Medicaid between May 2020 and Nov 2022, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoGYAWALI, SMITA
WALNUT CREEK, CA 94598

33aNPI1912358474assigned 06/27/2016

33bProvider typePhysician Assistant

28Total paid$47K

24GClaims1,200

24DCodes billed5

24AFirst – last monthMay 2020 – Nov 2022

Compared with peers

Next to other Physician Assistant providers in California

Rank by total paid#46 of 187

Median peer was paid$4K

This provider vs. median11×

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
2020	189	$10K
2021	602	$25K
2022	409	$12K

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	54%	497	379	$25K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	20%	219	162	$10K
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%	101	73	$8K
80305		5.7%	369	289	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.9%	14	12	$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.