Lambore, Sanjay
Lambore, Sanjay was paid $212K by Medicaid between Nov 2020 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoLAMBORE, SANJAY
PITTSBURGH, PA 15213
PITTSBURGH, PA 15213
33aNPI1023085388assigned 03/07/2006
33bProvider typeSpecialist
28Total paid$212K
24GClaims4,057
24DCodes billed29
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Specialist providers in Pennsylvania
Rank by total paid#47 of 543
Median peer was paid$16K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2020 | 307 | $13K | |
| 2021 | 912 | $47K | |
| 2022 | 494 | $24K | |
| 2023 | 1,218 | $71K | |
| 2024incomplete | 1,126 | $57K |
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 | 26% | 782 | 771 | $56K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 23% | 322 | 316 | $48K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 327 | 326 | $42K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.0% | 165 | 165 | $19K |
| 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 | 7.9% | 207 | 203 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 37 | 37 | $6K |
| 90686 | 2.1% | 248 | 248 | $4K | |
| 92551 | 2.0% | 595 | 591 | $4K | |
| 99173 | 1.4% | 493 | 491 | $3K | |
| 90670 | 1.3% | 116 | 116 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 12 | 12 | $2K |
| 90647 | <1% | 86 | 86 | $2K |
17 more codes
| 90723 | <1% | 43 | $967.50 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 25 | $956.25 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 16 | $880.00 |
| 99177 | <1% | 74 | $745.86 | |
| 90633 | <1% | 25 | $562.50 | |
| 99051 | <1% | 16 | $403.62 | |
| 96161 | <1% | 49 | $383.67 | |
| 90680 | <1% | 15 | $337.50 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 91 | $302.41 |
| 90677 | <1% | 12 | $270.00 | |
| 90651 | <1% | 12 | $247.50 | |
| 96127 | <1% | 95 | $165.40 | |
| 96160 | <1% | 111 | $148.79 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $141.33 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 13 | $0.00 |
| G9920 | Screening performed and negative | 0% | 18 | $0.00 |
| 90661 | 0% | 40 | $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.