Physician
Gohel, Jagruti
Gohel, Jagruti was paid $120K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.
33Billing provider infoGOHEL, JAGRUTI
MIDDLETOWN, NY 10940
MIDDLETOWN, NY 10940
33aNPI1295906832assigned 03/21/2008
33bProvider typeFamily Medicine Physician
28Total paid$120K
24GClaims5,578
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#527 of 2,605
Median peer was paid$10K
This provider vs. median12×
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 | 717 | $9K | |
| 2019 | 806 | $13K | |
| 2020 | 1,109 | $23K | |
| 2021 | 777 | $19K | |
| 2022 | 745 | $18K | |
| 2023 | 757 | $21K | |
| 2024incomplete | 667 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 95% | 3,670 | 3,105 | $114K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 136 | 121 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 23 | 22 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 422 | 412 | $265.08 |
| 93000 | <1% | 28 | 28 | $120.86 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 594 | 577 | $55.89 |
| 99497 | <1% | 25 | 25 | $48.65 | |
| 81002 | <1% | 59 | 57 | $23.38 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 227 | 199 | $17.14 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 0% | 16 | 16 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 32 | 32 | $0.00 |
| 82044 | 0% | 12 | 12 | $0.00 |
2 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.