Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lamba, Sanjay

Lamba, Sanjay was paid $4.40M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoLAMBA, SANJAY
MANASSAS, VA 20110
33aNPI1124069901assigned 06/10/2006
33bProvider typePediatrics Physician
28Total paid$4.40M
24GClaims87,168
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#38 of 817
Median peer was paid$29K
This provider vs. median150×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201811,611$485K
201911,046$519K
202011,948$559K
202110,951$521K
202213,080$727K
202313,000$728K
2024incomplete15,532$864K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 35% 17,369 14,345 $1.56M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 24,431 19,435 $1.42M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6.3% 7,234 6,775 $277K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.7% 2,729 2,684 $209K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3.9% 5,677 5,106 $173K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.8% 1,983 1,948 $166K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.6% 2,050 2,003 $157K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.0% 1,220 1,171 $88K
92551 1.2% 5,554 5,471 $54K
90686 1.2% 4,289 4,232 $54K
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% 300 298 $36K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,391 2,288 $31K
41 more codes
90649 <1% 476 $27K
90734 <1% 448 $13K
99384 <1% 128 $13K
90670 <1% 624 $12K
99203 Doctor's office visit, new patient (routine) <1% 133 $10K
99383 <1% 118 $10K
99173 <1% 3,440 $8K
0001A <1% 202 $8K
90677 <1% 117 $7K
90685 <1% 609 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 732 $7K
0002A <1% 172 $7K
90680 <1% 283 $5K
90688 <1% 446 $5K
90633 <1% 307 $4K
99382 <1% 49 $4K
90715 <1% 289 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 261 $4K
90619 <1% 93 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 315 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 193 $3K
96127 <1% 347 $2K
90710 <1% 61 $1K
90744 <1% 109 $1K
90651 <1% 42 $1K
90696 <1% 75 $1K
99381 <1% 14 $1K
90620 <1% 13 $1K
90648 <1% 99 $1K
90698 <1% 61 $978.69
90460 Immunization administration through 18 years of age via any route, first or only component <1% 711 $891.78
90716 <1% 31 $800.94
90707 <1% 29 $395.31
90723 <1% 12 $200.15
90461 <1% 138 $187.80
97802 <1% 169 $155.24
90700 <1% 12 $147.30
85018 <1% 12 $29.22
91300 <1% 354 $2.16
99072 0% 184 $0.00
G0009 Administration of pneumococcal vaccine 0% 33 $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.