Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PANCHAL, HEMANT

NPI: 1306885496 · ENFIELD, CT 06082 · Pediatrics Physician · NPI assigned 06/05/2006

$3.27M
Total Medicaid Paid
59,986
Total Claims
49,257
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,814 $753K
2019 13,656 $747K
2020 12,509 $699K
2021 14,161 $822K
2022 5,681 $254K
2024 165 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,439 11,169 $1.23M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,192 6,862 $855K
90460 Immunization administration through 18 years of age via any route, first or only component 3,745 3,521 $234K
92585 1,935 1,904 $122K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,060 1,043 $112K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,039 1,019 $108K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,228 1,971 $106K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 739 724 $83K
99174 3,446 3,386 $66K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 459 453 $46K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,078 959 $44K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 320 270 $44K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,371 1,563 $35K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 342 331 $35K
99401 941 886 $34K
92588 690 674 $27K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,231 1,204 $21K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,933 1,788 $20K
96127 961 929 $17K
99050 579 546 $7K
81000 2,048 1,962 $6K
85013 1,414 1,389 $3K
82948 974 954 $3K
0071A 66 66 $3K
0072A 61 61 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 16 15 $2K
0002A 38 38 $2K
87634 26 26 $1K
0001A 32 31 $1K
90473 24 24 $630.72
99177 18 18 $320.00
92551 13 13 $77.88
90686 1,392 1,374 $0.03
90648 396 389 $0.00
90670 478 470 $0.00
90715 198 196 $0.00
90734 195 193 $0.00
90633 144 142 $0.00
91300 122 109 $0.00
90710 12 12 $0.00
90672 25 25 $0.00
90707 15 15 $0.00
91307 134 122 $0.00
90723 220 216 $0.00
90680 84 82 $0.00
90696 12 12 $0.00
90651 88 88 $0.00