Physician
Garg Pediatrics LLC
Garg Pediatrics LLC was paid $42K by Medicaid between Jan 2018 and Sep 2018, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoGARG PEDIATRICS LLC
MUNCIE, IN 47303
MUNCIE, IN 47303
33aNPI1972999381assigned 04/13/2015
33bProvider typePediatrics Physician
28Total paid$42K
24GClaims1,048
24DCodes billed9
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Pediatrics Physician providers in Indiana
Rank by total paid#84 of 119
Median peer was paid$395K
This provider vs. median0.1×
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 | 1,048 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 73% | 646 | 565 | $31K |
| 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 | 8.1% | 47 | 42 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.6% | 39 | 38 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 31 | 29 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.7% | 91 | 79 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 152 | 123 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | 13 | $202.71 |
| 90698 | 0% | 15 | 14 | $0.00 | |
| 90670 | 0% | 14 | 13 | $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 officialGARG, SANJAY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Carolina Rheumatology & Internal Medicine, PA | Fayetteville, NC | $56K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.