Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Bhanvadia, Amit

Bhanvadia, Amit was paid $574K by Medicaid between Oct 2019 and Aug 2023, across 9 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 33% of everything it billed.

33Billing provider infoBHANVADIA, AMIT
ANAHEIM, CA 92804
33aNPI1861751083assigned 05/08/2012
28Total paid$574K
24GClaims3,151
24DCodes billed9
24AFirst – last monthOct 2019 – Aug 2023
Compared with peers

Next to other Gastroenterology Physician providers in California

Rank by total paid#77 of 363
Median peer was paid$55K
This provider vs. median10×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
201936$3K
2020352$33K
20211,020$134K
20221,101$239K
2023642$166K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 33% 824 787 $192K
45380 Colonoscopy, flexible; with biopsy, single or multiple 29% 498 481 $169K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 20% 288 287 $115K
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 8.0% 515 513 $46K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.4% 781 755 $25K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2.7% 30 30 $15K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.6% 173 60 $9K
99223 Prolong inpt eval add15 m <1% 30 28 $3K
99152 <1% 12 12 $22.00

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.