Medicaid Provider Spending

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

PRAFUL REDDY MD PC

NPI: 1154858348 · SUN CITY WEST, AZ 85375 · Neurology Physician · NPI assigned 05/18/2017

$1.50M
Total Medicaid Paid
18,754
Total Claims
11,256
Beneficiaries
19
Codes Billed
2018-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialREDDY, PRAFUL (OWNER)
NPI Enumeration Date05/18/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,131 $58K
2019 2,481 $144K
2020 3,438 $281K
2021 3,841 $354K
2022 3,257 $279K
2023 2,820 $240K
2024 1,786 $148K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,101 1,470 $558K
99233 Prolong inpt eval add15 m 8,202 4,107 $436K
99255 997 941 $155K
99223 Prolong inpt eval add15 m 1,439 1,314 $105K
99220 1,312 1,181 $104K
99254 259 246 $30K
99226 647 438 $29K
99292 331 313 $23K
95816 583 517 $22K
99205 Prolong outpt/office vis 133 121 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 161 155 $9K
99232 Subsequent hospital care, per day, moderate complexity 267 182 $9K
95813 110 104 $6K
99215 Prolong outpt/office vis 91 62 $4K
99222 Initial hospital care, per day, moderate complexity 27 27 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 53 40 $2K
99219 14 13 $771.76
95822 13 13 $520.17
1123F 14 12 $0.00