Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lalmalani, Gopal

Lalmalani, Gopal was paid $941K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 26% of everything it billed.

33Billing provider infoLALMALANI, GOPAL
LOMBARD, IL 60148
33aNPI1942221981assigned 07/23/2006
28Total paid$941K
24GClaims44,882
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Illinois

Rank by total paid#5 of 678
Median peer was paid$36K
This provider vs. median26×

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$10K$20K$30K2018201920202021202220232024
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
20185,571$72K
20197,387$114K
20206,657$151K
20217,085$175K
20227,059$159K
20236,491$149K
2024incomplete4,632$121K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 26% 6,615 2,280 $244K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 22% 8,289 2,873 $211K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 21% 21,415 18,516 $201K
99254 13% 1,948 1,666 $121K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9.5% 3,019 2,616 $89K
99223 Prolong inpt eval add15 m 2.7% 924 857 $25K
93018 2.0% 1,207 958 $19K
99222 Initial hospital care, per day, moderate complexity 1.5% 556 515 $14K
93016 1.4% 815 459 $13K
99255 <1% 14 14 $1K
93000 <1% 49 20 $985.60
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 31 16 $345.48

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.