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

Gandhi, Niel

Gandhi, Niel was paid $237K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoGANDHI, NIEL
AURORA, IL 60506
33aNPI1619230034assigned 06/20/2012
28Total paid$237K
24GClaims4,199
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#485 of 2,947
Median peer was paid$43K
This provider vs. median5.6×

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$10K$20K2018201920202021202220232024
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
2018332$16K
2019264$13K
2020817$48K
20231,056$51K
2024incomplete1,730$109K
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 53% 2,847 2,266 $126K
G0467 Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 16% 210 36 $38K
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 11% 279 226 $25K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7.6% 350 317 $18K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 6.1% 204 176 $15K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4.5% 254 236 $11K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2.2% 36 36 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 19 14 $254.82

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.