Ponnaluri, Madhuri

Ponnaluri, Madhuri was paid $4K by Medicaid between Dec 2021 and Feb 2022, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoPONNALURI, MADHURI
NEWARK, NJ 07104

33aNPI1083387591assigned 07/29/2021

33bProvider typePediatric Nurse Practitioner

28Total paid$4K

24GClaims190

24DCodes billed8

24AFirst – last monthDec 2021 – Feb 2022

Compared with peers

Next to other Pediatric Nurse Practitioner providers in New Jersey

Rank by total paid#11 of 13

Median peer was paid$14K

This provider vs. median0.3×

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
2021	21	$714.00
2022	169	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	53%	68	66	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	10%	16	16	$442.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	10%	38	37	$437.00
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.7%	12	12	$329.52
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.7%	12	12	$329.52
90472	Immunization administration, each additional vaccine (list separately)	5.9%	14	13	$253.00
90460	Immunization administration through 18 years of age via any route, first or only component	4.3%	16	16	$184.00
81001		<1%	14	14	$25.90

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.