Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Chicago › NPI 1811053978
Physician

Sandesara, Kalyan

Sandesara, Kalyan was paid $1.56M by Medicaid between Jan 2018 and Feb 2022, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoSANDESARA, KALYAN
CHICAGO, IL 60622
33aNPI1811053978assigned 12/30/2006
33bProvider typePediatrics Physician
28Total paid$1.56M
24GClaims56,083
24DCodes billed34
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#65 of 1,805
Median peer was paid$55K
This provider vs. median28×

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$20K$40K$60K2018201920202021202220232024
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
201815,191$366K
201916,615$463K
202013,109$386K
20219,360$295K
20221,808$53K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 10,697 8,416 $499K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16% 3,299 2,260 $252K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 9.1% 1,701 1,375 $142K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.1% 1,874 1,413 $142K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8.2% 1,890 1,327 $129K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4.5% 4,406 3,260 $71K
D1206 Topical application of fluoride varnish 3.1% 1,869 1,262 $48K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.3% 2,313 583 $36K
90686 1.9% 3,430 2,808 $29K
90620 1.6% 955 692 $26K
90651 1.6% 995 727 $25K
90670 1.5% 1,469 981 $23K
22 more codes
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.4% 1,741 $22K
90734 1.1% 965 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 906 $14K
99173 <1% 1,896 $14K
90716 <1% 739 $12K
86580 <1% 2,620 $11K
90707 <1% 717 $9K
90698 <1% 963 $7K
90685 <1% 715 $5K
90680 <1% 691 $5K
90700 <1% 543 $5K
85018 <1% 2,021 $5K
90633 <1% 586 $4K
81002 <1% 1,607 $4K
90744 <1% 381 $3K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 2,571 $1K
90713 <1% 82 $816.97
99238 Hospital discharge day management, 30 minutes or less <1% 18 $533.70
90461 <1% 568 $495.96
90715 <1% 54 $408.94
90648 <1% 22 $134.40
97803 <1% 779 $97.55

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.