Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Jani, Hirenkumar

Jani, Hirenkumar was paid $3K by Medicaid between Jan 2018 and May 2020, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 91% of everything it billed.

33Billing provider infoJANI, HIRENKUMAR
CLANTON, AL 35045
33aNPI1366596405assigned 01/23/2007
28Total paid$3K
24GClaims1,328
24DCodes billed6
24AFirst – last monthJan 2018 – May 2020
Compared with peers

Next to other Internal Medicine Physician providers in Alabama

Rank by total paid#163 of 225
Median peer was paid$17K
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$500$1.0K2018201920202021202220232024
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
2018704$865.90
2019460$1K
2020164$754.92
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 91% 177 146 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.8% 31 26 $262.26
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 406 332 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 293 241 $0.00
G8482 Influenza immunization administered or previously received 0% 332 276 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 0% 89 73 $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.