Nair, Anil

Nair, Anil was paid $79K by Medicaid between Jan 2018 and Jul 2020, across 19 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 32% of everything it billed.

33Billing provider infoNAIR, ANIL
QUINCY, MA 02169

33aNPI1003834433assigned 07/17/2006

33bProvider typeNeurology Physician

28Total paid$79K

24GClaims7,016

24DCodes billed19

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Neurology Physician providers in Massachusetts

Rank by total paid#26 of 101

Median peer was paid$10K

This provider vs. median7.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (08/18/2022).

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	1,808	$19K
2019	3,831	$45K
2020	1,377	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	32%	462	399	$25K
96130		23%	468	391	$18K
96116		13%	705	588	$10K
96136		8.4%	403	357	$7K
96138		6.3%	391	346	$5K
96101		4.5%	263	225	$4K
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	3.9%	114	102	$3K
G0444	Annual depression screening, 5 to 15 minutes	2.1%	383	341	$2K
99205	Prolong outpt/office vis	1.5%	13	13	$1K
96127		1.1%	356	316	$907.50
G8420	Bmi is documented within normal parameters and no follow-up plan is required	1.1%	685	557	$849.54
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	685	557	$621.06

7 more codes

S3005	Performance measurement, evaluation of patient self assessment, depression	<1%	292	$519.04
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	684	$514.93
G9168	Memory functional limitation, current status at therapy episode outset and at reporting intervals	<1%	330	$346.23
G9458	Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user	<1%	376	$283.20
G8938	Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible	<1%	380	$227.19
G8609		0%	13	$0.00
G8947	One or more neuropsychiatric symptoms	0%	13	$0.00

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.