Nigam, Sanjay

Nigam, Sanjay was paid $47K by Medicaid between Jan 2018 and Sep 2023, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.

33Billing provider infoNIGAM, SANJAY
MARYVILLE, IL 62062

33aNPI1942278973assigned 03/08/2006

33bProvider typePsychiatry Physician

28Total paid$47K

24GClaims2,879

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2023

Compared with peers

Next to other Psychiatry Physician providers in Illinois

Rank by total paid#381 of 660

Median peer was paid$68K

This provider vs. median0.7×

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	786	$7K
2019	771	$6K
2020	679	$9K
2021	342	$10K
2022	178	$10K
2023	123	$7K

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	71%	831	672	$34K
99309	Subsequent nursing facility care, per day, low to moderate complexity	15%	1,231	1,212	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.0%	177	156	$3K
99308	Subsequent nursing facility care, per day, straightforward	3.7%	442	438	$2K
96127		1.6%	123	101	$774.84
99335		<1%	29	27	$396.12
99336		<1%	30	29	$338.65
80305		<1%	16	13	$130.80

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.