Physician
Chandrasekaran, Prathibha
Chandrasekaran, Prathibha was paid $383K by Medicaid between Jan 2018 and Aug 2024, across 12 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 50% of everything it billed.
33Billing provider infoCHANDRASEKARAN, PRATHIBHA
REDDING, CA 96001
REDDING, CA 96001
33aNPI1114985819assigned 05/02/2006
33bProvider typeGastroenterology Physician
28Total paid$383K
24GClaims4,444
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#99 of 363
Median peer was paid$55K
This provider vs. median7.0×
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 | 756 | $38K | |
| 2019 | 910 | $59K | |
| 2020 | 1,186 | $88K | |
| 2021 | 905 | $77K | |
| 2022 | 338 | $51K | |
| 2023 | 278 | $58K | |
| 2024incomplete | 71 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 50% | 1,579 | 1,558 | $190K |
| 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 | 28% | 1,351 | 1,272 | $105K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 706 | 689 | $21K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 5.6% | 106 | 103 | $21K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 2.5% | 289 | 247 | $9K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.2% | 49 | 48 | $9K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 172 | 66 | $7K |
| 99223 | Prolong inpt eval add15 m | 1.5% | 62 | 60 | $6K |
| 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 | 1.3% | 49 | 49 | $5K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.2% | 25 | 25 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 44 | 43 | $3K |
| 99152 | <1% | 12 | 12 | $867.72 |
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.