Physician
Godiwala, Sunita
Godiwala, Sunita was paid $95K by Medicaid between Jan 2018 and Jun 2024, across 14 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 93% of everything it billed.
33Billing provider infoGODIWALA, SUNITA
HOLDEN, MA 01520
HOLDEN, MA 01520
33aNPI1407838188assigned 11/17/2005
33bProvider typeFamily Medicine Physician
28Total paid$95K
24GClaims6,404
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#151 of 744
Median peer was paid$10K
This provider vs. median9.1×
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 | 221 | $6K | |
| 2019 | 604 | $11K | |
| 2020 | 1,039 | $15K | |
| 2021 | 1,477 | $22K | |
| 2022 | 1,845 | $31K | |
| 2023 | 1,055 | $9K | |
| 2024incomplete | 163 | $784.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 93% | 960 | 926 | $89K |
| 99310 | Prolong nursin fac eval 15m | 6.0% | 223 | 220 | $6K |
| 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 | <1% | 14 | 14 | $905.05 |
| 1036F | 0% | 551 | 509 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 115 | 110 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 902 | 866 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 39 | 37 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | 12 | $0.00 |
| 3017F | 0% | 29 | 25 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,445 | 1,371 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,352 | 1,279 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 12 | 12 | $0.00 |
2 more codes
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.