Praful Reddy MD PC

Praful Reddy MD PC was paid $1.50M by Medicaid between Jun 2018 and Nov 2024, across 19 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 37% of everything it billed.

33Billing provider infoPRAFUL REDDY MD PC
SUN CITY WEST, AZ 85375

33aNPI1154858348assigned 05/18/2017

33bProvider typeNeurology Physician

28Total paid$1.50M

24GClaims18,754

24DCodes billed19

24AFirst – last monthJun 2018 – Nov 2024

Compared with peers

Next to other Neurology Physician providers in Arizona

Rank by total paid#8 of 63

Median peer was paid$89K

This provider vs. median17×

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	37%	4,101	1,470	$558K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	29%	8,202	4,107	$436K
99255		10%	997	941	$155K
99223	Prolong inpt eval add15 m	7.0%	1,439	1,314	$105K
99220		6.9%	1,312	1,181	$104K
99254		2.0%	259	246	$30K
99226		1.9%	647	438	$29K
99292		1.5%	331	313	$23K
95816		1.5%	583	517	$22K
99205	Prolong outpt/office vis	<1%	133	121	$9K
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%	161	155	$9K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	267	182	$9K

7 more codes

95813		<1%	110	$6K
99215	Doctor's office visit, returning patient (complex)	<1%	91	$4K
99222	Initial hospital care, per day, moderate complexity	<1%	27	$2K
99214	Doctor's office visit, returning patient (more involved)	<1%	53	$2K
99219		<1%	14	$771.76
95822		<1%	13	$520.17
1123F		0%	14	$0.00

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.

From NPPES

Who's on the registration

Authorized officialREDDY, PRAFUL (OWNER)