Kalva, Nikhil

Kalva, Nikhil was paid $117K by Medicaid between Jul 2018 and Nov 2024, across 11 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 71% of everything it billed.

33Billing provider infoKALVA, NIKHIL
PEORIA, IL 61637

33aNPI1255524419assigned 08/21/2007

33bProvider typeGastroenterology Physician

28Total paid$117K

24GClaims1,436

24DCodes billed11

24AFirst – last monthJul 2018 – Nov 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#64 of 370

Median peer was paid$16K

This provider vs. median7.3×

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	118	$3K
2019	426	$20K
2020	113	$8K
2021	46	$6K
2022	302	$36K
2023	284	$31K
2024incomplete	147	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	71%	439	395	$83K
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%	318	306	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.1%	330	315	$8K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	2.4%	15	15	$3K
99254		2.0%	39	38	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.0%	36	36	$2K
45380	Colonoscopy, flexible; with biopsy, single or multiple	1.6%	14	12	$2K
99152		1.1%	189	178	$1K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	19	12	$385.55
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	18	12	$324.70
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	19	18	$237.42

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.