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
CLANTON, AL 35045
33aNPI1366596405assigned 01/23/2007
33bProvider typeInternal Medicine Physician
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
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 | 704 | $865.90 | |
| 2019 | 460 | $1K | |
| 2020 | 164 | $754.92 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.