Physician
Bhagwat, Gauri
Bhagwat, Gauri was paid $471K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoBHAGWAT, GAURI
EDISON, NJ 08820
EDISON, NJ 08820
33aNPI1174806665assigned 09/21/2011
33bProvider typePediatrics Physician
28Total paid$471K
24GClaims15,538
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#184 of 549
Median peer was paid$154K
This provider vs. median3.1×
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 | 1,436 | $52K | |
| 2019 | 2,014 | $66K | |
| 2020 | 2,111 | $64K | |
| 2021 | 2,317 | $74K | |
| 2022 | 3,350 | $97K | |
| 2023 | 2,798 | $74K | |
| 2024incomplete | 1,512 | $42K |
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 | 41% | 4,637 | 4,069 | $194K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 3,397 | 3,222 | $69K |
| 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 | 12% | 908 | 861 | $54K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 9.3% | 2,301 | 2,246 | $44K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.8% | 634 | 619 | $37K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 338 | 337 | $21K |
| 90461 | 3.7% | 1,132 | 1,068 | $17K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 239 | 233 | $13K |
| 92552 | 1.5% | 553 | 547 | $7K | |
| 90686 | <1% | 550 | 537 | $5K | |
| 99188 | <1% | 139 | 139 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 27 | 27 | $2K |
12 more codes
| 0071A | <1% | 33 | $1K | |
| 0072A | <1% | 32 | $1K | |
| 99383 | <1% | 13 | $1K | |
| 90670 | <1% | 41 | $710.85 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 42 | $523.90 |
| 99173 | <1% | 337 | $461.79 | |
| 90656 | <1% | 67 | $377.67 | |
| 99174 | <1% | 13 | $60.21 | |
| 99072 | 0% | 28 | $0.00 | |
| 91307 | 0% | 49 | $0.00 | |
| 90744 | 0% | 16 | $0.00 | |
| 90716 | 0% | 12 | $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.