Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sanjay Agarwal Professional Medical Corporation

Sanjay Agarwal Professional Medical Corporation was paid $38K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.

33Billing provider infoSANJAY AGARWAL PROFESSIONAL MEDICAL CORPORATION
MILPITAS, CA 95035
33aNPI1316252414assigned 08/12/2010
28Total paid$38K
24GClaims5,084
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#374 of 561
Median peer was paid$222K
This provider vs. median0.2×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2018422$3K
2019723$742.91
2020672$926.39
2021871$5K
2022894$7K
20231,027$11K
2024incomplete475$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 71% 3,377 3,270 $27K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 23% 518 517 $9K
94060 4.1% 332 329 $2K
94729 <1% 118 118 $237.52
94726 <1% 119 119 $221.02
99223 Prolong inpt eval add15 m <1% 28 26 $80.10
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 471 451 $0.00
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 13 13 $0.00
1124F 0% 32 32 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 76 69 $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.

From NPPES

Who's on the registration

Authorized officialAGARWAL, SANJAY (CEO AND DIRECTOR)
Same official

Other billing entities under AGARWAL, SANJAY

Full network →
ProviderLocationPaid
Coastal Bend Retina, P.A.Corpus Christi, TX$301.92

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.