Physician
Ailawadi Surgical Associates PC
Ailawadi Surgical Associates PC was paid $2.02M by Medicaid between Oct 2020 and Dec 2024, across 8 billing codes. Its largest line is 43775, — 65% of everything it billed.
33Billing provider infoAILAWADI SURGICAL ASSOCIATES PC
ALLENTOWN, PA 18104
ALLENTOWN, PA 18104
33aNPI1013295070assigned 07/25/2011
33bProvider typeSurgical Oncology Physician
28Total paid$2.02M
24GClaims10,369
24DCodes billed8
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Surgical Oncology Physician providers in Pennsylvania
Rank by total paid#1 of 10
Median peer was paid$9K
This provider vs. median222×
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 | |
|---|---|---|---|
| 2020 | 331 | $60K | |
| 2021 | 2,532 | $462K | |
| 2022 | 2,924 | $565K | |
| 2023 | 2,607 | $522K | |
| 2024incomplete | 1,975 | $408K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43775 | 65% | 1,215 | 1,209 | $1.31M | |
| 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 | 13% | 4,541 | 3,884 | $261K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 9.5% | 1,238 | 1,222 | $191K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.5% | 1,021 | 1,005 | $92K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.5% | 570 | 569 | $72K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 1,367 | 1,346 | $50K |
| 47100 | 2.2% | 400 | 399 | $44K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 17 | 15 | $1K |
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 officialAILAWADI, MANEESH (PHYSICIAN/OWNER)