Physician
Bhambhani, Nina
Bhambhani, Nina was paid $184K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.
33Billing provider infoBHAMBHANI, NINA
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
33aNPI1831147545assigned 05/05/2006
33bProvider typeInternal Medicine Physician
28Total paid$184K
24GClaims4,646
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#126 of 1,726
Median peer was paid$6K
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
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 | 369 | $11K | |
| 2019 | 501 | $21K | |
| 2020 | 586 | $27K | |
| 2021 | 891 | $45K | |
| 2022 | 1,310 | $41K | |
| 2023 | 849 | $32K | |
| 2024incomplete | 140 | $8K |
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 | 81% | 2,895 | 2,838 | $149K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 14% | 320 | 319 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 288 | 280 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 275 | 274 | $63.12 |
| 3074F | 0% | 403 | 386 | $0.00 | |
| 3078F | 0% | 465 | 449 | $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.