Physician
Saxena, Sanjay
Saxena, Sanjay was paid $1.34M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoSAXENA, SANJAY
BLOOMINGTON, IL 61704
BLOOMINGTON, IL 61704
33aNPI1174625867assigned 09/02/2006
33bProvider typePediatrics Physician
28Total paid$1.34M
24GClaims26,700
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#92 of 1,805
Median peer was paid$55K
This provider vs. median24×
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 | 2,134 | $107K | |
| 2019 | 3,575 | $168K | |
| 2020 | 4,349 | $210K | |
| 2021 | 5,003 | $266K | |
| 2022 | 4,708 | $227K | |
| 2023 | 3,868 | $187K | |
| 2024incomplete | 3,063 | $177K |
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 | 35% | 9,960 | 7,786 | $469K |
| 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 | 14% | 2,487 | 2,088 | $186K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 2,408 | 1,899 | $164K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.8% | 1,740 | 1,514 | $131K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 1,197 | 1,119 | $90K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 918 | 797 | $74K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 2.4% | 93 | 86 | $32K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.3% | 890 | 792 | $31K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.2% | 413 | 172 | $30K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.9% | 569 | 426 | $26K |
| 96127 | 1.8% | 1,382 | 1,134 | $24K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 1,092 | 867 | $21K |
15 more codes
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 586 | $13K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 782 | $12K |
| 96160 | <1% | 583 | $8K | |
| 87631 | <1% | 82 | $8K | |
| 87486 | <1% | 93 | $4K | |
| 87581 | <1% | 93 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 114 | $3K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 34 | $3K |
| 36416 | <1% | 522 | $2K | |
| 83655 | <1% | 156 | $2K | |
| 99383 | <1% | 17 | $1K | |
| 87807 | <1% | 74 | $744.44 | |
| 85018 | <1% | 229 | $522.00 | |
| 99072 | 0% | 76 | $0.00 | |
| 96161 | 0% | 110 | $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.