Mainali, Bishal

Mainali, Bishal was paid $37K by Medicaid between Apr 2020 and Jul 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 98% of everything it billed.

33Billing provider infoMAINALI, BISHAL
ARLINGTON, MA 02474

33aNPI1700936747assigned 01/11/2007

33bProvider typeInternal Medicine Physician

28Total paid$37K

24GClaims453

24DCodes billed2

24AFirst – last monthApr 2020 – Jul 2024

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#379 of 1,270

Median peer was paid$8K

This provider vs. median4.4×

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	92	$9K
2021	161	$14K
2022	125	$11K
2023	32	$3K
2024incomplete	43	$930.40

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	98%	439	341	$36K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.7%	14	12	$639.62

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.