Supplier
Pandya, Sapna
Pandya, Sapna was paid $806K by Medicaid between Mar 2018 and Nov 2024, across 15 billing codes. Its largest line is L3000, Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each — 36% of everything it billed.
33Billing provider infoPANDYA, SAPNA
NEW YORK, NY 10034
NEW YORK, NY 10034
33aNPI1194801142assigned 10/31/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$806K
24GClaims9,937
24DCodes billed15
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in New York
Rank by total paid#131 of 479
Median peer was paid$138K
This provider vs. median5.8×
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 | 266 | $36K | |
| 2019 | 303 | $32K | |
| 2020 | 235 | $25K | |
| 2021 | 985 | $122K | |
| 2022 | 2,721 | $209K | |
| 2023 | 3,640 | $274K | |
| 2024incomplete | 1,787 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | 36% | 867 | 538 | $288K |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 13% | 1,665 | 1,086 | $105K |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | 10% | 1,145 | 693 | $84K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.8% | 1,128 | 1,083 | $79K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.6% | 1,574 | 1,463 | $70K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.2% | 654 | 651 | $58K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.8% | 541 | 537 | $31K |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | 3.6% | 974 | 618 | $29K |
| L4397 | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf | 3.5% | 220 | 164 | $28K |
| 11721 | 1.4% | 622 | 619 | $11K | |
| L2210 | Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint | 1.4% | 126 | 63 | $11K |
| L3100 | Hallus-valgus night dynamic splint, prefabricated, off-the-shelf | 1.3% | 333 | 176 | $11K |
3 more codes
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.