Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Glendale › NPI 1790231397
Physician

Premal Sanghavi MD INC

Premal Sanghavi MD INC was paid $464K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 61% of everything it billed.

33Billing provider infoPREMAL SANGHAVI MD INC
GLENDALE, CA 91204
33aNPI1790231397assigned 09/01/2016
33bProvider typeSurgery Physician
28Total paid$464K
24GClaims5,205
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Surgery Physician providers in California

Rank by total paid#52 of 437
Median peer was paid$23K
This provider vs. median20×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018606$21K
20191,037$46K
2020713$44K
2021829$80K
2022915$124K
2023591$83K
2024incomplete514$65K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 61% 3,412 3,178 $283K
99205 Prolong outpt/office vis 28% 1,038 1,036 $132K
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 7.9% 729 691 $37K
38525 1.5% 14 13 $7K
38900 1.1% 12 12 $5K

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 officialSANGHAVI, PERMAL (OWNER)