Pandya, Sonali

Pandya, Sonali was paid $15K by Medicaid between Jan 2018 and Feb 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.

33Billing provider infoPANDYA, SONALI
PROVIDENCE, RI 02905

33aNPI1174773816assigned 09/30/2008

33bProvider typeSurgery Physician

28Total paid$15K

24GClaims278

24DCodes billed4

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Surgery Physician providers in Rhode Island

Rank by total paid#17 of 32

Median peer was paid$15K

This provider vs. median1.0×

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	186	$10K
2019	31	$1K
2020	61	$4K

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	81%	218	207	$12K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	11%	18	17	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	4.6%	29	29	$686.05
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.6%	13	12	$537.81

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.