Ajay Goel Physician PC

Ajay Goel Physician PC was paid $340K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoAJAY GOEL PHYSICIAN PC
ROME, NY 13441

33aNPI1437244464assigned 10/04/2006

33bProvider typeGastroenterology Physician

28Total paid$340K

24GClaims4,272

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Gastroenterology Physician providers in New York

Rank by total paid#105 of 656

Median peer was paid$12K

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	337	$25K
2019	698	$51K
2020	508	$39K
2021	533	$37K
2022	852	$67K
2023	843	$75K
2024incomplete	501	$46K

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	37%	1,981	1,948	$127K
88305	Level IV - Surgical pathology, gross and microscopic examination	21%	710	707	$73K
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	12%	427	425	$39K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	6.8%	221	220	$23K
99442		6.4%	308	308	$22K
45380	Colonoscopy, flexible; with biopsy, single or multiple	6.2%	194	194	$21K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.9%	149	149	$20K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.1%	134	134	$11K
99441		<1%	65	65	$3K
88342		<1%	26	26	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	12	12	$232.23
99072		0%	45	44	$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 officialGOEL, KAVITA (OFFICE MANAGER)