Pandya, Neil

Pandya, Neil was paid $99K by Medicaid between Jul 2019 and Nov 2024, across 9 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 42% of everything it billed.

33Billing provider infoPANDYA, NEIL
OTTAWA, IL 61350

33aNPI1124403050assigned 07/21/2015

33bProvider typeInternal Medicine Physician

28Total paid$99K

24GClaims3,816

24DCodes billed9

24AFirst – last monthJul 2019 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#791 of 3,722

Median peer was paid$26K

This provider vs. median3.8×

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
2019	39	$1K
2020	95	$5K
2021	44	$2K
2022	1,073	$36K
2023	1,493	$34K
2024incomplete	1,072	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	42%	1,659	831	$42K
11043		25%	322	134	$25K
99308	Subsequent nursing facility care, per day, straightforward	14%	953	582	$14K
99309	Subsequent nursing facility care, per day, low to moderate complexity	9.0%	597	440	$9K
99220		4.6%	77	55	$5K
99219		2.5%	44	38	$2K
99223	Prolong inpt eval add15 m	1.8%	57	52	$2K
17250		<1%	81	50	$683.92
99307		<1%	26	25	$289.08

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.