Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PETHKAR, SANJAY

NPI: 1134181829 · PLAINFIELD, IL 60585 · Internal Medicine Physician · NPI assigned 04/06/2006

$290K
Total Medicaid Paid
6,430
Total Claims
5,514
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 581 $23K
2019 742 $35K
2020 1,193 $54K
2021 1,132 $49K
2022 823 $39K
2023 944 $40K
2024 1,015 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,647 2,256 $150K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,643 2,203 $116K
99490 Ccm add 20min 528 501 $8K
0012A 118 113 $5K
0011A 129 121 $4K
96127 263 231 $4K
0013A 44 38 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29 26 $650.75
90686 17 13 $133.16