Gupta, Balaji

Gupta, Balaji was paid $30K by Medicaid between Mar 2019 and Dec 2024, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 49% of everything it billed.

33Billing provider infoGUPTA, BALAJI
LOMBARD, IL 60148

33aNPI1992767818assigned 04/05/2006

33bProvider typeOphthalmology Physician

28Total paid$30K

24GClaims833

24DCodes billed4

24AFirst – last monthMar 2019 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#223 of 431

Median peer was paid$34K

This provider vs. median0.9×

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
2019	62	$2K
2020	99	$3K
2021	76	$3K
2022	130	$4K
2023	184	$7K
2024incomplete	282	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	49%	463	430	$15K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	39%	221	207	$12K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	11%	136	129	$3K
92250		1.4%	13	13	$423.42

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.