Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PANDYA, HIMANSHU

NPI: 1003896929 · FLORAL PARK, NY 11004 · Internal Medicine Physician · NPI assigned 01/18/2006

$690K
Total Medicaid Paid
24,565
Total Claims
15,628
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,541 $114K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,360 6,669 $410K
99232 Subsequent hospital care, per day, moderate complexity 8,112 2,212 $144K
99223 Prolong inpt eval add15 m 627 621 $35K
99441 916 782 $28K
99238 Hospital discharge day management, 30 minutes or less 840 799 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 814 792 $15K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,460 719 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 90 88 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 55 53 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 170 146 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 102 90 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 54 47 $2K
99442 74 61 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 62 58 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 114 108 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 17 17 $1K
36415 Collection of venous blood by venipuncture 895 872 $460.94
90658 13 13 $235.04
99051 12 12 $84.00
1160F 769 633 $15.00
1159F 738 604 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 28 14 $0.00
97803 13 12 $0.00
3725F 19 12 $0.00
99000 179 170 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 13 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 19 12 $0.00