Pandya, Kaushik

Pandya, Kaushik was paid $1.52M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.

33Billing provider infoPANDYA, KAUSHIK
TINLEY PARK, IL 60477

33aNPI1396719803assigned 02/14/2006

33bProvider typePediatrics Physician

28Total paid$1.52M

24GClaims42,219

24DCodes billed46

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#69 of 1,805

Median peer was paid$55K

This provider vs. median28×

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	4,645	$184K
2019	6,135	$228K
2020	6,842	$226K
2021	6,428	$213K
2022	7,095	$261K
2023	5,941	$212K
2024incomplete	5,133	$201K

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	25%	7,803	6,612	$380K
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	16%	3,110	2,782	$250K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	13%	2,664	2,279	$204K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	12%	2,391	2,201	$181K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	11%	1,965	1,798	$161K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	7.4%	1,648	1,406	$112K
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.0%	3,226	2,880	$61K
96127		2.5%	2,574	2,345	$37K
99463		1.2%	446	439	$19K
90686		1.1%	1,549	1,429	$17K
99460		<1%	393	383	$15K
90670		<1%	1,252	1,065	$12K

34 more codes

99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	908	$12K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	321	$8K
90651		<1%	594	$8K
90734		<1%	403	$6K
90685		<1%	584	$6K
90656		<1%	284	$5K
90680		<1%	534	$4K
99223	Prolong inpt eval add15 m	<1%	54	$4K
99239	Hospital discharge day management, more than 30 minutes	<1%	83	$3K
90620		<1%	171	$3K
90633		<1%	355	$3K
0072A		<1%	61	$2K
90698		<1%	326	$2K
90715		<1%	129	$2K
0071A		<1%	35	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	90	$1K
90672		<1%	101	$1K
90744		<1%	102	$827.48
86580		<1%	171	$737.34
90688		<1%	64	$627.20
90660		<1%	33	$551.43
99462		<1%	32	$524.80
90647		<1%	40	$283.20
90696		<1%	14	$233.94
90716		<1%	16	$224.42
90707		<1%	16	$173.32
90710		<1%	15	$89.60
85018		<1%	38	$88.16
91307		<1%	87	$42.14
4274F		0%	1,348	$0.00
3351F		0%	1,429	$0.00
3008F		0%	3,240	$0.00
1036F		0%	1,475	$0.00
1220F		0%	45	$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.