Goyal, Sanjay

Goyal, Sanjay was paid $239K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 47% of everything it billed.

33Billing provider infoGOYAL, SANJAY
BALDWIN, NY 11510

33aNPI1164400156assigned 01/09/2006

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$239K

24GClaims5,513

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in New York

Rank by total paid#37 of 344

Median peer was paid$9K

This provider vs. median27×

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	398	$16K
2019	458	$19K
2020	829	$37K
2021	725	$30K
2022	1,212	$53K
2023	1,276	$57K
2024incomplete	615	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	47%	2,328	1,192	$114K
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%	1,881	1,702	$77K
99222	Initial hospital care, per day, moderate complexity	15%	848	815	$36K
99231	Subsequent hospital care, per day, straightforward or low complexity	4.2%	375	93	$10K
99254		<1%	12	12	$989.73
99308	Subsequent nursing facility care, per day, straightforward	<1%	43	43	$568.39
99223	Prolong inpt eval add15 m	<1%	13	13	$306.18
99305		<1%	13	13	$88.00

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.