Pandya, Kamlesh

Pandya, Kamlesh was paid $63K by Medicaid between Jan 2018 and Mar 2022, across 8 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 66% of everything it billed.

33Billing provider infoPANDYA, KAMLESH
FORT PIERCE, FL 34950

33aNPI1750440020assigned 12/06/2006

33bProvider typePulmonary Disease Physician

28Total paid$63K

24GClaims6,596

24DCodes billed8

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Pulmonary Disease Physician providers in Florida

Rank by total paid#39 of 142

Median peer was paid$11K

This provider vs. median5.6×

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	1,252	$4K
2019	1,968	$23K
2020	1,459	$19K
2021	1,805	$16K
2022	112	$215.26

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99222	Initial hospital care, per day, moderate complexity	66%	1,309	1,058	$41K
99231	Subsequent hospital care, per day, straightforward or low complexity	22%	3,671	1,292	$14K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	10%	800	382	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.4%	617	490	$864.54
1123F		0%	35	28	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	52	40	$0.00
G9368	At least two orders for high-risk medications from the same drug class not ordered	0%	30	25	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	82	67	$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.