Sinha, Prabhat

Sinha, Prabhat was paid $24K by Medicaid between Jun 2018 and Jul 2022, across 8 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 57% of everything it billed.

33Billing provider infoSINHA, PRABHAT
TOMS RIVER, NJ 08755

33aNPI1013988286assigned 01/27/2006

33bProvider typeInternal Medicine Physician

28Total paid$24K

24GClaims1,197

24DCodes billed8

24AFirst – last monthJun 2018 – Jul 2022

Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#545 of 1,027

Median peer was paid$30K

This provider vs. median0.8×

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	99	$3K
2019	129	$4K
2020	575	$9K
2021	249	$5K
2022	145	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99310	Prolong nursin fac eval 15m	57%	444	368	$14K
99309	Subsequent nursing facility care, per day, low to moderate complexity	27%	212	157	$7K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	5.3%	50	24	$1K
99223	Prolong inpt eval add15 m	4.2%	26	26	$1K
99490	Ccm add 20min	1.7%	320	320	$405.89
99238	Hospital discharge day management, 30 minutes or less	1.5%	14	13	$377.75
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	1.5%	118	93	$358.96
99239	Hospital discharge day management, more than 30 minutes	1.2%	13	13	$298.50

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.