Physician
Gauri Kanhere PLLC
Gauri Kanhere PLLC was paid $256K by Medicaid between May 2020 and Oct 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoGAURI KANHERE PLLC
RIO GRANDE CITY, TX 78582
RIO GRANDE CITY, TX 78582
33aNPI1649891037assigned 04/27/2020
33bProvider typeInternal Medicine Physician
28Total paid$256K
24GClaims14,879
24DCodes billed18
24AFirst – last monthMay 2020 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#109 of 1,028
Median peer was paid$10K
This provider vs. median25×
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 | |
|---|---|---|---|
| 2020 | 2,226 | $35K | |
| 2021 | 4,273 | $75K | |
| 2022 | 3,832 | $76K | |
| 2023 | 3,516 | $60K | |
| 2024incomplete | 1,032 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 4,993 | 3,434 | $106K |
| 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 | 34% | 4,302 | 3,064 | $88K |
| 99423 | 19% | 849 | 238 | $49K | |
| 99490 | Ccm add 20min | 2.0% | 1,370 | 1,348 | $5K |
| 99491 | Ccm add 20min | 1.9% | 1,797 | 1,791 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 64 | 58 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 29 | 26 | $995.95 |
| 99439 | <1% | 455 | 454 | $885.24 | |
| 0013A | <1% | 33 | 33 | $200.00 | |
| 0064A | <1% | 50 | 49 | $200.00 | |
| 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 | <1% | 86 | 83 | $182.62 |
| 99457 | <1% | 344 | 344 | $18.97 |
6 more codes
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.
From NPPES
Who's on the registration
Authorized officialKANHERE, GAURI (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Gauri Kanhere PLLC | Rio Grande City, TX | $115K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.