Murthy S Madhira MD PC
Murthy S Madhira MD PC was paid $110K by Medicaid between Jan 2018 and Oct 2019, across 23 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 33% of everything it billed.
33Billing provider infoMURTHY S MADHIRA MD PC
MONROE, MI 48162
MONROE, MI 48162
33aNPI1053534719assigned 04/11/2007
33bProvider typeSpecialist
28Total paid$110K
24GClaims9,468
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Specialist providers in Michigan
Rank by total paid#84 of 181
Median peer was paid$94K
This provider vs. median1.2×
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 | 5,199 | $67K | |
| 2019 | 4,269 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 423 | 418 | $37K |
| 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 | 30% | 573 | 560 | $34K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 16% | 251 | 251 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 414 | 411 | $16K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 4.1% | 43 | 43 | $5K |
| 99223 | Prolong inpt eval add15 m | 1.2% | 13 | 12 | $1K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,178 | 1,156 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,600 | 1,571 | $0.00 |
| 4004F | 0% | 363 | 358 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 725 | 716 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 187 | 179 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 95 | 93 | $0.00 |
11 more codes
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 90 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 134 | $0.00 |
| 1036F | 0% | 1,087 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 391 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 68 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 152 | $0.00 |
| 3017F | 0% | 404 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 338 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 192 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 693 | $0.00 |
| G9908 | Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 54 | $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.
From NPPES
Who's on the registration
Authorized officialMADHIRA, MURTHY (OWNER)