Physician
Sanjiv Bansal MD PC
Sanjiv Bansal MD PC was paid $86K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoSANJIV BANSAL MD PC
BRONX, NY 10469
BRONX, NY 10469
33aNPI1174512826assigned 10/17/2005
33bProvider typeSports Medicine (Orthopaedic Surgery) Physician
28Total paid$86K
24GClaims3,019
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Sports Medicine (Orthopaedic Surgery) Physician providers in New York
Rank by total paid#3 of 33
Median peer was paid$2K
This provider vs. median40×
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 | 482 | $15K | |
| 2019 | 928 | $26K | |
| 2020 | 773 | $20K | |
| 2021 | 442 | $14K | |
| 2024incomplete | 394 | $11K |
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 | 62% | 1,153 | 1,092 | $53K |
| 20611 | 14% | 251 | 173 | $12K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.3% | 99 | 99 | $8K |
| J2010 | Injection, lincomycin hcl, up to 300 mg | 7.3% | 666 | 546 | $6K |
| 73560 | 2.2% | 91 | 46 | $2K | |
| 20610 | 1.8% | 50 | 33 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1.6% | 651 | 537 | $1K |
| 99243 | 1.3% | 13 | 13 | $1K | |
| 73565 | 1.1% | 45 | 45 | $955.88 |
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 officialBANSAL, SANJIV (PRESIDENT)