Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gandhi, Nishant

Gandhi, Nishant was paid $1.00M by Medicaid between Jan 2020 and Nov 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoGANDHI, NISHANT
CONNELLSVILLE, PA 15425
33aNPI1477734986assigned 11/27/2007
28Total paid$1.00M
24GClaims35,722
24DCodes billed27
24AFirst – last monthJan 2020 – Nov 2024
Compared with peers

Next to other Critical Care Medicine (Anesthesiology) Physician providers in Pennsylvania

Rank by total paid#4 of 10
Median peer was paid$247K
This provider vs. median4.1×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
202011,859$307K
202111,056$312K
20225,807$170K
20234,870$153K
2024incomplete2,130$61K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39% 14,826 14,112 $396K
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 19% 4,626 4,499 $192K
99072 13% 2,180 2,094 $134K
64483 10% 1,194 1,158 $101K
99484 8.9% 7,020 6,713 $90K
99244 Office or other outpatient consultation, moderate to high complexity 3.7% 292 292 $37K
64493 1.2% 173 147 $12K
64635 <1% 62 53 $8K
77002 <1% 166 161 $6K
62321 <1% 85 84 $6K
93922 <1% 154 154 $5K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 1,588 1,486 $4K
15 more codes
20610 <1% 178 $3K
96132 <1% 428 $3K
99204 Doctor's office visit, new patient (more involved) <1% 131 $3K
64495 <1% 175 $874.50
J1030 Injection, methylprednisolone acetate, 40 mg <1% 789 $588.73
99490 Ccm add 20min <1% 1,048 $587.79
64484 <1% 54 $540.87
64636 <1% 62 $528.00
27096 <1% 12 $471.14
20553 <1% 13 $341.28
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 51 $68.40
99439 <1% 18 $23.27
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 17 $0.00
64494 0% 175 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 205 $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.