Gondalia, Bhailal

Gondalia, Bhailal was paid $287K by Medicaid between Jan 2018 and Dec 2023, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 49% of everything it billed.

33Billing provider infoGONDALIA, BHAILAL
PARKERSBURG, WV 26101

33aNPI1568400976assigned 06/04/2006

33bProvider typePulmonary Disease Physician

28Total paid$287K

24GClaims7,306

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Pulmonary Disease Physician providers in West Virginia

Rank by total paid#7 of 17

Median peer was paid$210K

This provider vs. median1.4×

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	1,524	$91K
2019	1,078	$55K
2020	1,446	$49K
2021	1,255	$33K
2022	1,286	$36K
2023	717	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	49%	3,348	606	$140K
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	37%	2,645	2,322	$106K
99222	Initial hospital care, per day, moderate complexity	12%	508	453	$35K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.0%	61	55	$3K
94010		<1%	323	309	$1K
94726		<1%	186	176	$999.25
94729		<1%	187	177	$778.11
94664		<1%	48	47	$257.59

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.