Physician
Panchal, Hemant
Panchal, Hemant was paid $3.27M by Medicaid between Jan 2018 and Feb 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPANCHAL, HEMANT
ENFIELD, CT 06082
ENFIELD, CT 06082
33aNPI1306885496assigned 06/05/2006
33bProvider typePediatrics Physician
28Total paid$3.27M
24GClaims59,986
24DCodes billed48
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#24 of 162
Median peer was paid$313K
This provider vs. median10×
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 | 13,814 | $753K | |
| 2019 | 13,656 | $747K | |
| 2020 | 12,509 | $699K | |
| 2021 | 14,161 | $822K | |
| 2022 | 5,681 | $254K | |
| 2024incomplete | 165 | $0.00 |
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 | 38% | 17,439 | 11,169 | $1.23M |
| 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 | 26% | 8,192 | 6,862 | $855K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.1% | 3,745 | 3,521 | $234K |
| 92585 | 3.7% | 1,935 | 1,904 | $122K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 1,060 | 1,043 | $112K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 1,039 | 1,019 | $108K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.3% | 2,228 | 1,971 | $106K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 739 | 724 | $83K |
| 99174 | 2.0% | 3,446 | 3,386 | $66K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 459 | 453 | $46K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 1,078 | 959 | $44K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.3% | 320 | 270 | $44K |
36 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 3,371 | $35K |
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 342 | $35K |
| 99401 | 1.0% | 941 | $34K | |
| 92588 | <1% | 690 | $27K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,231 | $21K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,933 | $20K |
| 96127 | <1% | 961 | $17K | |
| 99050 | <1% | 579 | $7K | |
| 81000 | <1% | 2,048 | $6K | |
| 85013 | <1% | 1,414 | $3K | |
| 82948 | <1% | 974 | $3K | |
| 0071A | <1% | 66 | $3K | |
| 0072A | <1% | 61 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 16 | $2K |
| 0002A | <1% | 38 | $2K | |
| 87634 | <1% | 26 | $1K | |
| 0001A | <1% | 32 | $1K | |
| 90473 | <1% | 24 | $630.72 | |
| 99177 | <1% | 18 | $320.00 | |
| 92551 | <1% | 13 | $77.88 | |
| 90686 | <1% | 1,392 | $0.03 | |
| 90648 | 0% | 396 | $0.00 | |
| 90670 | 0% | 478 | $0.00 | |
| 90715 | 0% | 198 | $0.00 | |
| 90734 | 0% | 195 | $0.00 | |
| 90633 | 0% | 144 | $0.00 | |
| 91300 | 0% | 122 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90672 | 0% | 25 | $0.00 | |
| 90707 | 0% | 15 | $0.00 | |
| 91307 | 0% | 134 | $0.00 | |
| 90723 | 0% | 220 | $0.00 | |
| 90680 | 0% | 84 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90651 | 0% | 88 | $0.00 |
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.