Vethachalam, Sandhya
Vethachalam, Sandhya was paid $38K by Medicaid between Oct 2019 and Jul 2020, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoVETHACHALAM, SANDHYA
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
33aNPI1104234814assigned 07/25/2014
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$38K
24GClaims908
24DCodes billed14
24AFirst – last monthOct 2019 – Jul 2020
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Missouri
Rank by total paid#18 of 102
Median peer was paid$7K
This provider vs. median5.7×
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 | |
|---|---|---|---|
| 2019 | 244 | $9K | |
| 2020 | 664 | $30K |
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 | 62% | 464 | 425 | $24K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 23% | 109 | 97 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 15 | 15 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 12 | 12 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 54 | 28 | $981.22 |
| 90723 | 1.6% | 28 | 28 | $602.84 | |
| 90686 | 1.6% | 90 | 90 | $598.26 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 26 | 25 | $443.26 |
| 90707 | <1% | 12 | 12 | $253.82 | |
| 90670 | <1% | 32 | 32 | $230.46 | |
| 90647 | <1% | 28 | 28 | $203.71 | |
| 90716 | <1% | 13 | 13 | $94.05 |
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.