H. Pandya MD PC

H. Pandya MD PC was paid $8K by Medicaid between Apr 2018 and Aug 2018, across 3 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 70% of everything it billed.

33Billing provider infoH. PANDYA MD PC
ST. CLAIR SHORES, MI 48081

33aNPI1760507081assigned 03/20/2007

33bProvider typeGastroenterology Physician

28Total paid$8K

24GClaims166

24DCodes billed3

24AFirst – last monthApr 2018 – Aug 2018

Compared with peers

Next to other Gastroenterology Physician providers in Michigan

Rank by total paid#45 of 67

Median peer was paid$89K

This provider vs. median0.1×

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	166	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	70%	62	58	$6K
99231	Subsequent hospital care, per day, straightforward or low complexity	22%	92	42	$2K
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	7.6%	12	12	$602.20

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.

From NPPES

Who's on the registration

Authorized officialPANDYA, MRADULA (OFFICE MANAGER)

Parent organizationH. PANDYA MD PC.