Physician
Paunikar, Pooja
Paunikar, Pooja was paid $3K by Medicaid between Jan 2019 and Oct 2020, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.
33Billing provider infoPAUNIKAR, POOJA
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
33aNPI1801150297assigned 06/29/2012
33bProvider typeFamily Medicine Physician
28Total paid$3K
24GClaims132
24DCodes billed2
24AFirst – last monthJan 2019 – Oct 2020
Compared with peers
Next to other Family Medicine Physician providers in New York
Rank by total paid#1,825 of 2,605
Median peer was paid$10K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2019 | 67 | $1K | |
| 2020 | 65 | $1K |
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 | 72% | 118 | 106 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 14 | 13 | $713.35 |
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.