Agarwal, Anil

Agarwal, Anil was paid $519K by Medicaid between Jan 2018 and Oct 2021, across 9 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 24% of everything it billed.

33Billing provider infoAGARWAL, ANIL
CLIFTON, NJ 07012

33aNPI1497704373assigned 05/09/2006

33bProvider typeGastroenterology Physician

28Total paid$519K

24GClaims6,155

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2021

Compared with peers

Next to other Gastroenterology Physician providers in New Jersey

Rank by total paid#16 of 150

Median peer was paid$27K

This provider vs. median20×

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	1,474	$128K
2019	1,791	$144K
2020	1,452	$105K
2021	1,438	$142K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	24%	726	725	$124K
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	24%	1,218	1,216	$123K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	2,098	1,989	$92K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	16%	503	499	$83K
45380	Colonoscopy, flexible; with biopsy, single or multiple	11%	292	292	$56K
99401		5.4%	1,042	1,011	$28K
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	1.3%	94	94	$7K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	13	13	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	169	158	$3K

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.