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

Nambiar, Sapna

Nambiar, Sapna was paid $305K by Medicaid between Oct 2022 and Nov 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoNAMBIAR, SAPNA
ISELIN, NJ 08830
33aNPI1699984583assigned 05/21/2007
33bProvider typePediatrics Physician
28Total paid$305K
24GClaims10,379
24DCodes billed29
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#223 of 549
Median peer was paid$154K
This provider vs. median2.0×

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$20K$30K2018201920202021202220232024
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
20221,538$42K
20237,131$209K
2024incomplete1,710$54K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 33% 1,626 1,390 $101K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 1,710 1,482 $75K
90460 Immunization administration through 18 years of age via any route, first or only component 6.8% 1,083 996 $21K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6.6% 1,235 1,159 $20K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.4% 325 311 $19K
90671 4.9% 67 65 $15K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.5% 208 207 $14K
92552 2.6% 543 535 $8K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.9% 98 92 $6K
90461 1.3% 390 364 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 46 46 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 219 181 $3K
17 more codes
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 188 $3K
90686 <1% 518 $2K
90716 <1% 42 $2K
99188 <1% 88 $2K
90670 <1% 55 $2K
99204 Doctor's office visit, new patient (more involved) <1% 12 $1K
90656 <1% 56 $1K
3008F <1% 889 $1K
90707 <1% 28 $727.64
99173 <1% 544 $679.06
90700 <1% 92 $615.37
90713 <1% 70 $456.08
96127 <1% 171 $428.33
90633 <1% 35 $320.88
90744 <1% 17 $54.72
90680 0% 12 $0.00
90651 0% 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.