Physician
Sanjay Bharti MD PLLC
Sanjay Bharti MD PLLC was paid $2.34M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 18% of everything it billed.
33Billing provider infoSANJAY BHARTI MD PLLC
FAIRMONT, WV 26554
FAIRMONT, WV 26554
33aNPI1962532549assigned 03/06/2007
33bProvider typeInternal Medicine Physician
28Total paid$2.34M
24GClaims57,906
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in West Virginia
Rank by total paid#5 of 96
Median peer was paid$24K
This provider vs. median98×
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 | 8,029 | $574K | |
| 2019 | 5,038 | $340K | |
| 2020 | 6,264 | $377K | |
| 2021 | 6,563 | $187K | |
| 2022 | 7,531 | $224K | |
| 2023 | 12,460 | $356K | |
| 2024incomplete | 12,021 | $284K |
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 | 18% | 11,893 | 4,044 | $416K |
| 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 | 17% | 6,212 | 4,918 | $389K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 7,536 | 2,463 | $368K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 14% | 16,063 | 4,192 | $333K |
| 99223 | Prolong inpt eval add15 m | 9.2% | 1,826 | 1,587 | $215K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 3,093 | 2,562 | $145K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.0% | 773 | 711 | $93K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.4% | 901 | 781 | $79K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.5% | 1,078 | 941 | $57K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.4% | 864 | 774 | $56K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.2% | 1,292 | 588 | $29K |
| 99221 | 1.2% | 264 | 234 | $29K |
42 more codes
| 99220 | <1% | 100 | $21K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 142 | $18K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 144 | $14K |
| 36415 | Collection of venous blood by venipuncture | <1% | 910 | $10K |
| 99000 | <1% | 221 | $8K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 140 | $6K |
| 99497 | <1% | 198 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 59 | $5K |
| 80305 | <1% | 593 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 474 | $4K |
| Q3014 | Telehealth originating site facility fee | <1% | 171 | $4K |
| 96127 | <1% | 1,563 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 58 | $4K |
| 99236 | Prolong inpt eval add15 m | <1% | 18 | $4K |
| 99217 | <1% | 76 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 217 | $3K |
| 99305 | <1% | 50 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 29 | $2K |
| 1123F | <1% | 122 | $2K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 190 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 40 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 29 | $921.49 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 59 | $768.03 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 20 | $551.62 |
| 99406 | <1% | 60 | $507.12 | |
| 90674 | <1% | 13 | $410.04 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 29 | $401.76 |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 92 | $345.45 |
| 99401 | <1% | 17 | $312.60 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | $122.36 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 16 | $120.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 28 | $59.44 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 55 | $55.29 |
| 81003 | <1% | 27 | $30.55 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 13 | $16.95 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 17 | $2.72 |
| 3079F | 0% | 14 | $0.00 | |
| 3008F | 0% | 16 | $0.00 | |
| 99442 | 0% | 36 | $0.00 | |
| 99490 | Ccm add 20min | 0% | 14 | $0.00 |
| G2068 | Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | 0% | 13 | $0.00 |
| 3077F | 0% | 14 | $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.
From NPPES
Who's on the registration
Authorized officialKADIYALA, RAMA SUBBA RAO (BUSINESS STRATEGY MANAGER)