Pandalai, Soumya

Pandalai, Soumya was paid $34K by Medicaid between Apr 2024 and Jul 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoPANDALAI, SOUMYA
WHITEHALL, OH 43213

33aNPI1831310275assigned 05/02/2007

33bProvider typeAddiction Medicine (Internal Medicine) Physician

28Total paid$34K

24GClaims488

24DCodes billed4

24AFirst – last monthApr 2024 – Jul 2024

Compared with peers

Next to other Addiction Medicine (Internal Medicine) Physician providers in Ohio

Rank by total paid#7 of 10

Median peer was paid$73K

This provider vs. median0.5×

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
2024incomplete	488	$34K

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	60%	156	118	$20K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	116	105	$9K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	9.4%	70	41	$3K
99406		4.1%	146	125	$1K

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.