Physician
Garg, Sanjay
Garg, Sanjay was paid $181K by Medicaid between Jan 2019 and Nov 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoGARG, SANJAY
CHARLESTON, IL 61920
CHARLESTON, IL 61920
33aNPI1679594055assigned 07/21/2006
33bProvider typePediatrics Physician
28Total paid$181K
24GClaims4,400
24DCodes billed23
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#580 of 1,805
Median peer was paid$55K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2019 | 2,232 | $82K | |
| 2020 | 1,263 | $54K | |
| 2021 | 135 | $6K | |
| 2022 | 290 | $11K | |
| 2023 | 208 | $10K | |
| 2024incomplete | 272 | $18K |
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 | 53% | 2,271 | 2,007 | $97K |
| 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 | 14% | 383 | 356 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 324 | 303 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.6% | 180 | 169 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 72 | 68 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 63 | 60 | $5K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.7% | 52 | 50 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.7% | 77 | 72 | $3K |
| 90686 | 1.1% | 279 | 267 | $2K | |
| 90670 | <1% | 189 | 180 | $1K | |
| 90698 | <1% | 167 | 158 | $998.40 | |
| 99460 | <1% | 15 | 12 | $869.44 |
11 more codes
| 90680 | <1% | 86 | $512.00 | |
| 90710 | <1% | 32 | $423.84 | |
| 90734 | <1% | 24 | $389.50 | |
| 90744 | <1% | 61 | $352.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | $243.40 |
| 87420 | <1% | 14 | $226.91 | |
| 90651 | <1% | 26 | $147.20 | |
| 90715 | <1% | 19 | $108.80 | |
| 90696 | <1% | 18 | $96.00 | |
| 90633 | <1% | 14 | $89.60 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 19 | $61.28 |
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.