Physician
Goyal, Alok
Goyal, Alok was paid $2.54M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoGOYAL, ALOK
SOUTH PLAINFIELD, NJ 07080
SOUTH PLAINFIELD, NJ 07080
33aNPI1003848805assigned 07/06/2006
33bProvider typeGastroenterology Physician
28Total paid$2.54M
24GClaims66,368
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in New Jersey
Rank by total paid#1 of 150
Median peer was paid$27K
This provider vs. median96×
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 | |
|---|---|---|---|
| 2018 | 10,413 | $416K | |
| 2019 | 13,406 | $493K | |
| 2020 | 11,151 | $370K | |
| 2021 | 8,993 | $407K | |
| 2022 | 9,453 | $398K | |
| 2023 | 6,922 | $283K | |
| 2024incomplete | 6,030 | $168K |
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 | 29% | 19,898 | 16,417 | $745K |
| 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 | 24% | 11,962 | 10,194 | $618K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 9.3% | 1,463 | 1,419 | $236K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 8.4% | 3,239 | 3,150 | $213K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.1% | 2,515 | 2,416 | $155K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.2% | 1,927 | 1,895 | $133K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 3.8% | 545 | 537 | $97K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.2% | 264 | 246 | $55K |
| 93000 | 1.7% | 4,464 | 4,164 | $43K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.7% | 453 | 448 | $42K |
| 90688 | 1.6% | 1,944 | 1,910 | $40K | |
| 93922 | 1.1% | 600 | 569 | $29K |
53 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,917 | $23K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 515 | $18K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 135 | $16K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 674 | $16K |
| 99497 | <1% | 270 | $10K | |
| 99397 | <1% | 297 | $8K | |
| 77080 | <1% | 172 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 174 | $4K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 760 | $4K |
| 92250 | <1% | 119 | $4K | |
| 0134A | <1% | 101 | $2K | |
| G0008 | Administration of influenza virus vaccine | <1% | 573 | $2K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 12 | $2K |
| 90756 | <1% | 90 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 21 | $2K |
| 90694 | <1% | 205 | $1K | |
| 0124A | <1% | 52 | $1K | |
| 99385 | <1% | 12 | $901.33 | |
| 90658 | <1% | 55 | $748.36 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 73 | $704.58 |
| 0003A | <1% | 16 | $530.94 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | $430.45 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 30 | $387.20 |
| 51798 | <1% | 42 | $381.33 | |
| 90653 | <1% | 47 | $350.15 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 30 | $95.09 |
| 82962 | <1% | 45 | $53.45 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | $35.74 |
| 96161 | <1% | 12 | $31.03 | |
| 1170F | <1% | 699 | $26.00 | |
| 1126F | <1% | 703 | $25.00 | |
| 3008F | <1% | 2,866 | $23.00 | |
| 1160F | <1% | 662 | $16.00 | |
| 3044F | <1% | 211 | $13.00 | |
| 91313 | <1% | 92 | $8.01 | |
| 3078F | <1% | 353 | $8.00 | |
| 1159F | <1% | 261 | $8.00 | |
| 3074F | <1% | 423 | $7.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,139 | $6.00 |
| 3075F | <1% | 25 | $1.00 | |
| 3072F | <1% | 12 | $1.00 | |
| 91300 | <1% | 35 | $1.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,578 | $0.00 |
| 3017F | 0% | 503 | $0.00 | |
| 1101F | 0% | 113 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 619 | $0.00 |
| 1123F | 0% | 67 | $0.00 | |
| 1220F | 0% | 103 | $0.00 | |
| 3048F | 0% | 15 | $0.00 | |
| 3079F | 0% | 48 | $0.00 | |
| 3049F | 0% | 12 | $0.00 | |
| 91312 | 0% | 45 | $0.00 | |
| 3077F | 0% | 32 | $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.