Physician
Nirmala INC
Nirmala INC was paid $2.41M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoNIRMALA INC
LUTZ, FL 33548
LUTZ, FL 33548
33aNPI1336365907assigned 04/18/2007
33bProvider typePediatrics Physician
28Total paid$2.41M
24GClaims83,086
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#135 of 971
Median peer was paid$238K
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 | 1,006 | $37K | |
| 2019 | 6,144 | $159K | |
| 2020 | 5,119 | $141K | |
| 2021 | 7,358 | $286K | |
| 2022 | 19,175 | $554K | |
| 2023 | 24,824 | $556K | |
| 2024incomplete | 19,460 | $674K |
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 | 27% | 11,317 | 9,989 | $656K |
| 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 | 24% | 6,458 | 5,855 | $585K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 2,364 | 2,293 | $283K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 1,462 | 1,437 | $188K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 1,450 | 1,358 | $157K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.1% | 6,402 | 6,022 | $123K |
| 87428 | 4.0% | 887 | 806 | $96K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 617 | 602 | $80K |
| 92552 | 2.2% | 4,154 | 3,978 | $53K | |
| 90461 | 1.3% | 3,146 | 2,949 | $32K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 8,357 | 7,926 | $30K |
| 99383 | <1% | 238 | 230 | $19K |
51 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 531 | $19K |
| 97802 | <1% | 3,872 | $19K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 3,529 | $9K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 50 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 175 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 724 | $6K |
| 83655 | <1% | 1,047 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 233 | $5K |
| 99381 | <1% | 47 | $4K | |
| 99051 | <1% | 725 | $4K | |
| 90670 | <1% | 478 | $3K | |
| 99384 | <1% | 54 | $3K | |
| 90716 | <1% | 297 | $3K | |
| 81002 | <1% | 1,475 | $2K | |
| 99382 | <1% | 27 | $2K | |
| 99058 | <1% | 4,150 | $2K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,665 | $2K |
| 85018 | <1% | 1,236 | $1K | |
| 99050 | <1% | 562 | $991.42 | |
| 96127 | <1% | 2,312 | $665.16 | |
| 87807 | <1% | 139 | $650.02 | |
| 90686 | <1% | 1,016 | $611.28 | |
| 90707 | <1% | 227 | $430.96 | |
| 90651 | <1% | 257 | $313.60 | |
| 90633 | <1% | 290 | $293.69 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 3,052 | $252.39 |
| 90620 | <1% | 653 | $188.52 | |
| 96161 | <1% | 141 | $110.85 | |
| 96160 | <1% | 264 | $96.90 | |
| 90681 | <1% | 107 | $75.00 | |
| 99173 | <1% | 2,307 | $29.56 | |
| 90647 | <1% | 383 | $27.25 | |
| 94760 | <1% | 19 | $19.20 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 13 | $0.00 |
| 90671 | 0% | 383 | $0.00 | |
| 90734 | 0% | 137 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 111 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 42 | $0.00 |
| 90715 | 0% | 76 | $0.00 | |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | 0% | 17 | $0.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 17 | $0.00 |
| 90700 | 0% | 14 | $0.00 | |
| 90723 | 0% | 446 | $0.00 | |
| 36416 | 0% | 1,285 | $0.00 | |
| D1310 | 0% | 170 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,306 | $0.00 |
| 99422 | 0% | 12 | $0.00 | |
| D1330 | 0% | 69 | $0.00 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 0% | 48 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 29 | $0.00 |
| T1014 | Telehealth transmission, per minute, professional services bill separately | 0% | 15 | $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 officialPATEL, PAYAL (PEDIATRICIAN)