Physician
Balbir Gandhi M.D.P.C
Balbir Gandhi M.D.P.C was paid $664K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 33% of everything it billed.
33Billing provider infoBALBIR GANDHI M.D.P.C
WYANDOTTE, MI 48192
WYANDOTTE, MI 48192
33aNPI1013090182assigned 10/23/2006
33bProvider typeNeurology Physician
28Total paid$664K
24GClaims10,501
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neurology Physician providers in Michigan
Rank by total paid#12 of 78
Median peer was paid$69K
This provider vs. median9.6×
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 | 616 | $39K | |
| 2019 | 466 | $28K | |
| 2020 | 189 | $11K | |
| 2021 | 1,353 | $79K | |
| 2022 | 2,747 | $161K | |
| 2023 | 2,877 | $181K | |
| 2024incomplete | 2,253 | $165K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 33% | 3,399 | 1,413 | $218K |
| 99223 | Prolong inpt eval add15 m | 26% | 1,601 | 1,550 | $171K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 19% | 2,922 | 927 | $125K |
| 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 | 14% | 1,539 | 1,418 | $91K |
| 95819 | 2.6% | 520 | 495 | $17K | |
| 99220 | 2.6% | 195 | 192 | $17K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 117 | 107 | $10K |
| 95886 | <1% | 57 | 54 | $5K | |
| 95816 | <1% | 56 | 56 | $3K | |
| 99236 | Prolong inpt eval add15 m | <1% | 19 | 18 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 52 | 41 | $2K |
| 95911 | <1% | 12 | 12 | $1K |
1 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $1K |
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.
From NPPES
Who's on the registration
Authorized officialGANDHI, BALBIR (PRESIDENT)