Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Johnstown › NPI 1033272513
Physician

Dharbhamulla, Venkata

Dharbhamulla, Venkata was paid $1.00M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.

33Billing provider infoDHARBHAMULLA, VENKATA
JOHNSTOWN, PA 15904
33aNPI1033272513assigned 12/18/2006
33bProvider typePediatrics Physician
28Total paid$1.00M
24GClaims27,440
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#103 of 1,257
Median peer was paid$45K
This provider vs. median22×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2018128$9K
201912$1K
2020723$19K
20213,449$134K
20226,231$234K
20237,451$270K
2024incomplete9,446$337K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 6,585 6,365 $282K
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 20% 3,093 2,985 $203K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14% 1,209 1,204 $145K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 948 947 $105K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10% 980 975 $105K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.5% 483 483 $55K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3.0% 678 672 $31K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.3% 456 431 $13K
92551 1.3% 2,124 2,120 $13K
99188 1.2% 535 534 $13K
99173 1.2% 2,135 2,131 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.0% 1,124 1,108 $10K
28 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 70 $3K
96161 <1% 570 $3K
90677 <1% 207 $2K
90686 <1% 434 $2K
87807 <1% 75 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 727 $1K
90680 <1% 209 $1K
90670 <1% 193 $1K
90698 <1% 227 $1K
90697 <1% 180 $921.85
96127 <1% 634 $508.09
96380 <1% 27 $351.00
90633 <1% 79 $203.71
90651 <1% 24 $156.00
85018 <1% 39 $52.70
94760 <1% 13 $33.54
83655 <1% 121 $11.50
96160 <1% 747 $10.52
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 305 $0.00
3008F 0% 1,464 $0.00
90656 0% 114 $0.00
90744 0% 12 $0.00
90619 0% 34 $0.00
G9920 Screening performed and negative 0% 371 $0.00
90710 0% 53 $0.00
90671 0% 123 $0.00
80061 Lipid panel 0% 24 $0.00
90715 0% 14 $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.