Gumaste, Sandhya

Gumaste, Sandhya was paid $117K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoGUMASTE, SANDHYA
TEANECK, NJ 07666

33aNPI1811943418assigned 05/25/2006

33bProvider typeInternal Medicine Physician

28Total paid$117K

24GClaims4,135

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#313 of 1,027

Median peer was paid$30K

This provider vs. median3.9×

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	843	$26K
2019	686	$19K
2020	775	$15K
2021	581	$12K
2022	487	$17K
2023	521	$17K
2024incomplete	242	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	75%	2,139	1,932	$87K
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	18%	464	451	$21K
90688		2.6%	212	210	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.8%	185	183	$2K
36415	Collection of venous blood by venipuncture	1.3%	1,036	1,014	$2K
99308	Subsequent nursing facility care, per day, straightforward	<1%	85	37	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	14	13	$776.77

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.