Gandhi, Nirav

Gandhi, Nirav was paid $464K by Medicaid between Jan 2018 and Jul 2023, across 7 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 94% of everything it billed.

33Billing provider infoGANDHI, NIRAV
ANAHEIM, CA 92801

33aNPI1649263252assigned 08/30/2005

33bProvider typeNephrology Physician

28Total paid$464K

24GClaims1,988

24DCodes billed7

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Nephrology Physician providers in California

Rank by total paid#87 of 363

Median peer was paid$80K

This provider vs. median5.8×

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	262	$86K
2019	206	$66K
2020	398	$53K
2021	400	$88K
2022	455	$100K
2023	267	$71K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	94%	1,376	1,376	$436K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.5%	492	164	$21K
90961		<1%	15	15	$2K
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%	37	37	$2K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	39	22	$962.72
99223	Prolong inpt eval add15 m	<1%	15	15	$596.75
90935	Hemodialysis procedure with single evaluation by a physician	<1%	14	12	$560.36

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.