Bansal, Pratibha

Bansal, Pratibha was paid $181K by Medicaid between Jan 2018 and Jan 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoBANSAL, PRATIBHA
BUFFALO, NY 14215

33aNPI1700893575assigned 08/02/2006

33bProvider typePain Medicine (Anesthesiology) Physician

28Total paid$181K

24GClaims4,048

24DCodes billed4

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in New York

Rank by total paid#30 of 125

Median peer was paid$14K

This provider vs. median13×

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	912	$31K
2019	789	$37K
2020	717	$27K
2021	687	$30K
2022	549	$29K
2023	381	$26K
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	58%	3,031	2,779	$104K
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	21%	614	591	$39K
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	21%	388	387	$37K
96127		<1%	15	15	$46.26

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.