Pandya, Himanshu

Pandya, Himanshu was paid $690K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoPANDYA, HIMANSHU
FLORAL PARK, NY 11004

33aNPI1003896929assigned 01/18/2006

33bProvider typeInternal Medicine Physician

28Total paid$690K

24GClaims24,565

24DCodes billed27

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#367 of 6,049

Median peer was paid$11K

This provider vs. median61×

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	2,670	$72K
2019	3,398	$84K
2020	3,146	$77K
2021	4,518	$117K
2022	3,400	$118K
2023	2,892	$108K
2024incomplete	4,541	$114K

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	59%	8,360	6,669	$410K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	21%	8,112	2,212	$144K
99223	Prolong inpt eval add15 m	5.1%	627	621	$35K
99441		4.0%	916	782	$28K
99238	Hospital discharge day management, 30 minutes or less	2.4%	840	799	$16K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	2.1%	814	792	$15K
99231	Subsequent hospital care, per day, straightforward or low complexity	1.9%	1,460	719	$13K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	90	88	$6K
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	<1%	55	53	$5K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	170	146	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	102	90	$4K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	54	47	$2K

15 more codes

99442		<1%	74	$2K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	62	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	114	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	17	$1K
36415	Collection of venous blood by venipuncture	<1%	895	$460.94
90658		<1%	13	$235.04
99051		<1%	12	$84.00
1160F		<1%	769	$15.00
1159F		0%	738	$0.00
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	0%	28	$0.00
97803		0%	13	$0.00
3725F		0%	19	$0.00
99000		0%	179	$0.00
G9664	Patients who are currently statin therapy users or received an order (prescription) for statin therapy	0%	13	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	19	$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.