NILAY GANDHI, MD
Urology Physician · WOODBRIDGE, VA
Individual Active NPI 1861657488
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,178 | 99,569.5 | $3,523,573 | $939,745 | $742,550 |
| 2023 | 920 | 73,623.5 | $2,749,574 | $836,052 | $669,655 |
| 2022 | 604 | 7,743 | $1,893,440 | $653,758 | $530,140 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3145 | Injection, testosterone undecanoate, 1 mg | 88,500 | $2 | $1 |
| J1952 | Leuprolide injectable, camcevi, 1 mg | 1,638 | $57 | $45 |
| 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 | 986 | $17 | $13 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 957 | $133 | $98 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 561 | $95 | $69 |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 494 | $34 | $34 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 201 | $69 | $54 |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 190 | $34 | $34 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 179 | $12 | $9 |
| 96372 | Injection of drug or substance under skin or into muscle | 165 | $14 | $11 |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 157 | $68 | $53 |
| 76872 | Ultrasound scan of pelvic region through rectum | 149 | $34 | $25 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 0101258208 | VA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Urology Physician providers in Virginia
- NPI 1811168966
- NPI 1144337114
- NPI 1861588592
- NPI 1801812847
- NPI 1184899650
- NPI 1205822640
- NPI 1619219052
- NPI 1114312808
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.