Gautam, Pranisha

Gautam, Pranisha was paid $23K by Medicaid between Sep 2018 and Oct 2024, across 3 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 99% of everything it billed.

33Billing provider infoGAUTAM, PRANISHA
NEW HYDE PARK, NY 11040

33aNPI1841596103assigned 02/04/2011

33bProvider typeInfectious Disease Physician

28Total paid$23K

24GClaims1,676

24DCodes billed3

24AFirst – last monthSep 2018 – Oct 2024

Compared with peers

Next to other Infectious Disease Physician providers in New York

Rank by total paid#90 of 333

Median peer was paid$7K

This provider vs. median3.4×

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	25	$795.27
2019	110	$2K
2020	450	$6K
2021	503	$6K
2022	301	$3K
2023	118	$2K
2024incomplete	169	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	99%	1,641	624	$23K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.2%	22	12	$284.58
99222	Initial hospital care, per day, moderate complexity	<1%	13	13	$53.82

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.