Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1366492555assigned 05/11/2006
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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018338$6K
2019375$9K
2020485$10K
2021658$15K
2022620$14K
2023659$18K
2024incomplete588$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.