Physician
Pruthi, Kapil
Pruthi, Kapil was paid $26K by Medicaid between Nov 2022 and Dec 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.
33Billing provider infoPRUTHI, KAPIL
MECHANICSBURG, PA 17055
MECHANICSBURG, PA 17055
33aNPI1013356120assigned 06/21/2013
33bProvider typeFamily Medicine Physician
28Total paid$26K
24GClaims582
24DCodes billed4
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,220 of 2,756
Median peer was paid$19K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2022 | 29 | $1K | |
| 2023 | 305 | $12K | |
| 2024incomplete | 248 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 93% | 469 | 445 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 55 | 54 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 45 | 44 | $0.00 |
| 90661 | 0% | 13 | 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.