Physician
A T Tamboli M D INC
A T Tamboli M D INC was paid $1.19M by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 35% of everything it billed.
33Billing provider infoA T TAMBOLI M D INC
DOVER, OH 44622
DOVER, OH 44622
33aNPI1285780049assigned 01/26/2007
33bProvider typeFamily Medicine Physician
28Total paid$1.19M
24GClaims43,064
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Ohio
Rank by total paid#61 of 739
Median peer was paid$30K
This provider vs. median40×
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 | 636 | $12K | |
| 2019 | 170 | $2K | |
| 2020 | 2,432 | $68K | |
| 2021 | 8,696 | $234K | |
| 2022 | 11,932 | $313K | |
| 2023 | 11,330 | $321K | |
| 2024incomplete | 7,868 | $239K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 35% | 4,706 | 4,416 | $417K |
| 95117 | 24% | 28,550 | 10,378 | $291K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 22% | 1,783 | 1,646 | $260K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.8% | 2,684 | 2,418 | $92K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.2% | 1,027 | 955 | $50K |
| 94010 | 2.5% | 1,563 | 1,461 | $30K | |
| 92511 | 1.7% | 312 | 306 | $20K | |
| 95115 | 1.1% | 1,912 | 755 | $13K | |
| 31575 | 1.0% | 196 | 184 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 102 | 86 | $1K |
| 90688 | <1% | 87 | 76 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 61 | 56 | $1K |
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 officialTAMBOLI, ARDESHIR (OWNER)