Physician
Hemant K. Panchal, MD, PC.
Hemant K. Panchal, MD, PC. was paid $1.26M by Medicaid between May 2022 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoHEMANT K. PANCHAL, MD, PC.
ENFIELD, CT 06082
ENFIELD, CT 06082
33aNPI1821668427assigned 06/28/2021
33bProvider typePediatrics Physician
28Total paid$1.26M
24GClaims27,680
24DCodes billed25
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Connecticut
Rank by total paid#48 of 162
Median peer was paid$313K
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 | |
|---|---|---|---|
| 2022 | 7,253 | $317K | |
| 2023 | 11,217 | $488K | |
| 2024incomplete | 9,210 | $460K |
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 | 47% | 8,819 | 6,415 | $592K |
| 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% | 2,348 | 2,186 | $225K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 3,429 | 2,712 | $146K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.7% | 993 | 938 | $47K |
| 92588 | 3.5% | 1,208 | 1,155 | $44K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 1,397 | 1,317 | $43K |
| 99174 | 2.4% | 1,653 | 1,595 | $30K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 1,950 | 916 | $20K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 189 | 179 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 198 | 193 | $20K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 1,059 | 1,018 | $18K |
| 99401 | <1% | 349 | 338 | $12K |
13 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,152 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 87 | $9K |
| 92587 | <1% | 203 | $7K | |
| 99177 | <1% | 279 | $6K | |
| 99050 | <1% | 326 | $4K | |
| 96127 | <1% | 229 | $4K | |
| 82044 | <1% | 817 | $3K | |
| 85013 | <1% | 335 | $698.64 | |
| 82962 | <1% | 227 | $474.88 | |
| 82948 | <1% | 28 | $81.54 | |
| 90671 | 0% | 14 | $0.00 | |
| 90686 | 0% | 364 | $0.00 | |
| 90619 | 0% | 27 | $0.00 |
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 officialPANCHAL, HEMANT (OWNER)