Pancholi, Sanjay

Pancholi, Sanjay was paid $103K by Medicaid between Dec 2018 and Jul 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.

33Billing provider infoPANCHOLI, SANJAY
ROCK ISLAND, IL 61201

33aNPI1780894816assigned 05/24/2007

33bProvider typeInternal Medicine Physician

28Total paid$103K

24GClaims2,154

24DCodes billed7

24AFirst – last monthDec 2018 – Jul 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#766 of 3,722

Median peer was paid$26K

This provider vs. median4.0×

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

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	13	$512.16
2019	527	$22K
2020	727	$35K
2021	307	$15K
2022	304	$15K
2023	201	$11K
2024incomplete	75	$5K

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	73%	1,320	1,118	$75K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	597	508	$22K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.4%	44	42	$1K
90686		1.3%	73	59	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.2%	15	13	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	47	40	$922.00
96127		<1%	58	53	$850.30

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.