Physician
Pratibha Bansal, MD PC
Pratibha Bansal, MD PC was paid $64K by Medicaid between Jan 2018 and Jan 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoPRATIBHA BANSAL, MD PC
BUFFALO, NY 14215
BUFFALO, NY 14215
33aNPI1659531093assigned 06/10/2008
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$64K
24GClaims1,399
24DCodes billed3
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in New York
Rank by total paid#41 of 125
Median peer was paid$14K
This provider vs. median4.6×
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
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 | 174 | $6K | |
| 2019 | 226 | $8K | |
| 2020 | 287 | $10K | |
| 2021 | 317 | $11K | |
| 2022 | 187 | $11K | |
| 2023 | 195 | $16K | |
| 2024incomplete | 13 | $1K |
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 | 60% | 1,089 | 990 | $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 | 40% | 298 | 295 | $26K |
| 99499 | 0% | 12 | 12 | $0.00 |
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 officialSHAPIRO, MIRIAM (PRACTICE ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Romanth Waghmarae MB., BCH., PC | Williamsville, NY | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.