VISHAL GANDOTRA, MD
5701 W CHARLESTON BLVD STE 201, LAS VEGAS, NV 89146
NPI Number
1336137603
Practice location · View on Google Maps
Total Medicaid Payments
$191,244
-41% vs specialty average
Patients Seen
1,438
Total Claims
1,534
$ Per Patient
$133
Specialty avg: $88
Specialty Rank
#6 of 53
Internal Medicine, Gastroenterology providers in Nevada
Peer Average
$323,527
Average total for Internal Medicine, Gastroenterology
Claims per Patient
1.1
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $191,244 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 45380 | Colonoscopy with biopsy (tissue sample) | 376 | $88,210 | 46.1% | $235 |
| 43239 | Upper endoscopy with biopsy (camera down the throat to look at stomach, with tissue sample) | 411 | $35,887 | 18.8% | $87 |
| 99204 | New patient office visit — detailed visit for a serious problem | 131 | $20,314 | 10.6% | $155 |
| 99213 | Office visit for a simple problem (established patient) | 332 | $18,102 | 9.5% | $55 |
| 45378 | Colonoscopy — camera exam of the large intestine (diagnostic) | 44 | $8,983 | 4.7% | $204 |
| 99243 | Office consultation — moderate problem | 115 | $7,755 | 4.1% | $67 |
| 99203 | New patient office visit — moderate problem | 40 | $3,913 | 2.0% | $98 |
| 99244 | Office consultation — serious problem | 44 | $3,605 | 1.9% | $82 |
| 99214 | Office visit for a moderate problem (established patient) | 29 | $2,785 | 1.5% | $96 |
| 45381 | Rectum and colon surgery or exam | 12 | $1,691 | 0.9% | $141 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.