Clinic
Dilip C Dhadvai MD PC
Dilip C Dhadvai MD PC was paid $167K by Medicaid between Jan 2018 and Aug 2022, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoDILIP C DHADVAI MD PC
SUN CITY WEST, AZ 85375
SUN CITY WEST, AZ 85375
33aNPI1427390194assigned 03/20/2013
33bProvider typeMedical Specialty Clinic/Center
28Total paid$167K
24GClaims15,365
24DCodes billed31
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Arizona
Rank by total paid#11 of 20
Median peer was paid$167K
This provider vs. median1.0×
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 | 4,568 | $44K | |
| 2019 | 5,136 | $43K | |
| 2020 | 3,635 | $33K | |
| 2021 | 1,363 | $25K | |
| 2022 | 663 | $22K |
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 | 48% | 2,044 | 1,687 | $79K |
| 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 | 44% | 1,478 | 1,294 | $74K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.8% | 34 | 33 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 77 | 69 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 98 | 97 | $2K |
| 36415 | Collection of venous blood by venipuncture | 1.0% | 886 | 819 | $2K |
| 90756 | 1.0% | 116 | 76 | $2K | |
| 90674 | <1% | 91 | 68 | $1K | |
| 94760 | <1% | 2,737 | 2,038 | $690.96 | |
| 99421 | <1% | 62 | 48 | $678.44 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 43 | 39 | $573.18 |
| 93000 | <1% | 15 | 12 | $214.12 |
19 more codes
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 42 | $65.04 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 56 | $48.33 |
| G0008 | Administration of influenza virus vaccine | <1% | 55 | $47.19 |
| 1170F | 0% | 1,981 | $0.00 | |
| 1101F | 0% | 379 | $0.00 | |
| 3008F | 0% | 592 | $0.00 | |
| 1125F | 0% | 172 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 64 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 17 | $0.00 |
| 1126F | 0% | 17 | $0.00 | |
| 1157F | 0% | 49 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,677 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 51 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,183 | $0.00 |
| 0518F | 0% | 324 | $0.00 | |
| 3725F | 0% | 55 | $0.00 | |
| 3288F | 0% | 257 | $0.00 | |
| 1160F | 0% | 324 | $0.00 | |
| 1003F | 0% | 389 | $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.
From NPPES
Who's on the registration
Authorized officialKANAKA, SHAUN (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Apex Internal Medicine, P.C. | Mesa, AZ | $146K |
| DR S Gunnala MD PC | Phoenix, AZ | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.