Pankaj Vakharia MD PLLC

Pankaj Vakharia MD PLLC was paid $20K by Medicaid between Jan 2018 and Feb 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoPANKAJ VAKHARIA MD PLLC
HOLLY, MI 48442

33aNPI1275706434assigned 04/09/2008

33bProvider typePrimary Care Clinic/Center

28Total paid$20K

24GClaims842

24DCodes billed3

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Michigan

Rank by total paid#94 of 113

Median peer was paid$164K

This provider vs. median0.1×

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	433	$7K
2019	313	$7K
2020	43	$2K
2022	13	$613.79
2023	13	$852.16
2024incomplete	27	$2K

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	48%	238	217	$10K
99308	Subsequent nursing facility care, per day, straightforward	27%	536	528	$5K
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	25%	68	65	$5K

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.

From NPPES

Who's on the registration

Authorized officialVAKHARIA, PANKAJ (OWNER / PRESIDENT)