Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Bhatia, Pramod

Bhatia, Pramod was paid $22K by Medicaid between Jan 2018 and May 2024, across 4 billing codes. Its largest line is 95115, — 40% of everything it billed.

33Billing provider infoBHATIA, PRAMOD
TALLADEGA, AL 35160
33aNPI1104808245assigned 11/15/2005
33bProvider typeOtolaryngology Physician
28Total paid$22K
24GClaims2,091
24DCodes billed4
24AFirst – last monthJan 2018 – May 2024
Compared with peers

Next to other Otolaryngology Physician providers in Alabama

Rank by total paid#20 of 29
Median peer was paid$56K
This provider vs. median0.4×

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$1.0K$2.0K2018201920202021202220232024
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
2018256$2K
2019384$6K
2020473$4K
2021333$2K
2022462$3K
2023103$4K
2024incomplete80$367.25
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95115 40% 1,548 632 $9K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35% 400 272 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25% 129 99 $5K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 14 13 $196.07

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.