Physician
Ghia, Nirali
Ghia, Nirali was paid $95K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 0502F, — 65% of everything it billed.
33Billing provider infoGHIA, NIRALI
ELMHURST, IL 60126
ELMHURST, IL 60126
33aNPI1366492555assigned 05/11/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$95K
24GClaims3,723
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Illinois
Rank by total paid#281 of 911
Median peer was paid$41K
This provider vs. median2.3×
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 | 338 | $6K | |
| 2019 | 375 | $9K | |
| 2020 | 485 | $10K | |
| 2021 | 658 | $15K | |
| 2022 | 620 | $14K | |
| 2023 | 659 | $18K | |
| 2024incomplete | 588 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0502F | 65% | 1,378 | 1,117 | $62K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 251 | 144 | $23K |
| 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 | 6.5% | 52 | 28 | $6K |
| 81002 | 4.8% | 2,030 | 1,471 | $5K | |
| 59025 | Fetal non-stress test | <1% | 12 | 12 | $86.90 |
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.