India improved its medal tally from 4 medals (2 Gold, 1 Silver & 1 Bronze) in 2016 Rio Olympics to 19 medals (5 Gold, 8 Silver & 6 Bronze). India position in overall tally skyrocketed from 43 in last Games to 24.
In 5 events podium sweeps done, four Swimming events by China and one 100m Athletics event by Italy.
Detailed medal tally:
| Rank | NPC | Gold | Silver | Bronze | Total |
| 1 | China | 96 | 60 | 51 | 207 |
| 2 | Great Britain | 41 | 38 | 45 | 124 |
| 3 | United States | 37 | 36 | 31 | 104 |
| 4 | Russian Paralympic Committee | 36 | 33 | 49 | 118 |
| 5 | Netherlands | 25 | 17 | 17 | 59 |
| 6 | Ukraine | 24 | 47 | 27 | 98 |
| 7 | Brazil | 22 | 20 | 30 | 72 |
| 8 | Australia | 21 | 29 | 30 | 80 |
| 9 | Italy | 14 | 29 | 26 | 69 |
| 10 | Azerbaijan | 14 | 1 | 4 | 19 |
| 11 | Japan* | 13 | 15 | 23 | 51 |
| 12 | Germany | 13 | 12 | 18 | 43 |
| 13 | Iran | 12 | 11 | 1 | 24 |
| 14 | France | 11 | 15 | 28 | 54 |
| 15 | Spain | 9 | 15 | 12 | 36 |
| 16 | Uzbekistan | 8 | 5 | 6 | 19 |
| 17 | Poland | 7 | 6 | 12 | 25 |
| 18 | Hungary | 7 | 5 | 4 | 16 |
| 19 | Switzerland | 7 | 4 | 3 | 14 |
| 20 | Mexico | 7 | 2 | 13 | 22 |
| 21 | New Zealand | 6 | 3 | 3 | 12 |
| 22 | Israel | 6 | 2 | 1 | 9 |
| 23 | Canada | 5 | 10 | 6 | 21 |
| 24 | India | 5 | 8 | 6 | 19 |
| 25 | Thailand | 5 | 5 | 8 | 18 |
| 26 | Slovakia | 5 | 2 | 4 | 11 |
| 27 | Belarus | 5 | 1 | 1 | 7 |
| 28 | Tunisia | 4 | 5 | 2 | 11 |
| 29 | Algeria | 4 | 4 | 4 | 12 |
| 30 | Morocco | 4 | 4 | 3 | 11 |
| 31 | Belgium | 4 | 3 | 8 | 15 |
| 32 | Ireland | 4 | 2 | 1 | 7 |
| 33 | Nigeria | 4 | 1 | 5 | 10 |
| 34 | South Africa | 4 | 1 | 2 | 7 |
| 35 | Cuba | 4 | 1 | 1 | 6 |
| 36 | Jordan | 4 | 0 | 1 | 5 |
| 37 | Colombia | 3 | 7 | 14 | 24 |
| 38 | Venezuela | 3 | 2 | 2 | 7 |
| 39 | Malaysia | 3 | 2 | 0 | 5 |
| 40 | Denmark | 3 | 1 | 1 | 5 |
| 41 | South Korea | 2 | 10 | 12 | 24 |
| 42 | Turkey | 2 | 4 | 9 | 15 |
| 43 | Indonesia | 2 | 3 | 4 | 9 |
| 44 | Czech Republic | 2 | 3 | 3 | 8 |
| 45 | Chile | 2 | 3 | 1 | 6 |
| 45 | Serbia | 2 | 3 | 1 | 6 |
| 47 | Norway | 2 | 0 | 2 | 4 |
| 48 | Singapore | 2 | 0 | 0 | 2 |
| 49 | Austria | 1 | 5 | 3 | 9 |
| 50 | Sweden | 1 | 5 | 2 | 8 |
| 51 | Greece | 1 | 3 | 7 | 11 |
| 52 | Finland | 1 | 3 | 1 | 5 |
| 52 | Kazakhstan | 1 | 3 | 1 | 5 |
| 54 | United Arab Emirates | 1 | 1 | 1 | 3 |
| 55 | Costa Rica | 1 | 1 | 0 | 2 |
| 56 | Ecuador | 1 | 0 | 2 | 3 |
| 57 | Cyprus | 1 | 0 | 1 | 2 |
| 57 | Sri Lanka | 1 | 0 | 1 | 2 |
| 59 | Ethiopia | 1 | 0 | 0 | 1 |
| 59 | Mongolia | 1 | 0 | 0 | 1 |
| 59 | Pakistan | 1 | 0 | 0 | 1 |
| 59 | Peru | 1 | 0 | 0 | 1 |
| 63 | Argentina | 0 | 5 | 4 | 9 |
| 64 | Egypt | 0 | 5 | 2 | 7 |
| 65 | Croatia | 0 | 3 | 4 | 7 |
| 66 | Latvia | 0 | 3 | 2 | 5 |
| 67 | Georgia | 0 | 3 | 0 | 3 |
| 68 | Hong Kong | 0 | 2 | 3 | 5 |
| 69 | Bulgaria | 0 | 2 | 0 | 2 |
| 70 | Iraq | 0 | 1 | 2 | 3 |
| 71 | Kuwait | 0 | 1 | 1 | 2 |
| 71 | Namibia | 0 | 1 | 1 | 2 |
| 71 | Romania | 0 | 1 | 1 | 2 |
| 71 | Slovenia | 0 | 1 | 1 | 2 |
| 75 | Vietnam | 0 | 1 | 0 | 1 |
| 76 | Lithuania | 0 | 0 | 3 | 3 |
| 77 | Portugal | 0 | 0 | 2 | 2 |
| 78 | Bosnia and Herzegovina | 0 | 0 | 1 | 1 |
| 78 | Chinese Taipei | 0 | 0 | 1 | 1 |
| 78 | El Salvador | 0 | 0 | 1 | 1 |
| 78 | Kenya | 0 | 0 | 1 | 1 |
| 78 | Montenegro | 0 | 0 | 1 | 1 |
| 78 | Oman | 0 | 0 | 1 | 1 |
| 78 | Qatar | 0 | 0 | 1 | 1 |
| 78 | Saudi Arabia | 0 | 0 | 1 | 1 |
| 78 | Uganda | 0 | 0 | 1 | 1 |
| Totals | Totals (86 NPCs) | 539 | 540 | 589 | 1668 |