Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Ridgewood › NPI 1164480570
Physician

Sharma, Pradeep

Sharma, Pradeep was paid $1.33M by Medicaid between Jan 2018 and Nov 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

33Billing provider infoSHARMA, PRADEEP
RIDGEWOOD, NY 11385
33aNPI1164480570assigned 05/03/2006
28Total paid$1.33M
24GClaims60,816
24DCodes billed55
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#217 of 6,049
Median peer was paid$11K
This provider vs. median118×

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$20K$40K2018201920202021202220232024
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
20183,052$122K
20194,252$104K
20209,679$192K
202111,347$284K
202210,543$231K
202312,107$239K
2024incomplete9,836$159K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 36% 6,445 5,840 $484K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28% 5,999 5,162 $376K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 9.9% 1,407 1,405 $132K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 3.0% 315 315 $41K
99407 3.0% 3,207 3,110 $40K
H0049 Alcohol and/or drug screening 2.8% 1,975 1,840 $38K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 2.8% 461 460 $37K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2.5% 3,534 3,451 $33K
90688 1.8% 1,385 1,371 $25K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1.8% 2,549 2,273 $24K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1.8% 264 264 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.3% 542 495 $17K
43 more codes
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.0% 1,391 $14K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes <1% 1,867 $13K
S9470 Nutritional counseling, dietitian visit <1% 1,439 $11K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,124 $10K
36415 Collection of venous blood by venipuncture <1% 4,911 $4K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 14 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 86 $2K
3078F <1% 2,713 $1K
G9275 Documentation that patient is a current non-tobacco user <1% 2,472 $1K
3074F <1% 2,344 $1K
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months <1% 29 $446.12
3075F <1% 635 $348.01
99497 <1% 17 $332.33
3079F <1% 375 $232.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 12 $148.40
G9806 Patients who received cervical cytology or an hpv test <1% 62 $112.00
86580 <1% 14 $89.98
G9820 Documentation of a chlamydia screening test with proper follow-up <1% 45 $84.00
3044F <1% 218 $40.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 17 $31.50
S0257 Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) <1% 17 $31.50
99606 <1% 25 $21.34
2022F <1% 782 $20.14
1159F <1% 217 $12.00
1160F <1% 274 $9.50
1158F <1% 32 $7.00
1157F <1% 13 $7.00
1170F <1% 13 $7.00
3008F <1% 5,012 $0.50
3017F <1% 1,226 $0.01
3061F <1% 81 $0.01
3725F 0% 752 $0.00
3015F 0% 406 $0.00
G9276 Documentation that patient is a current tobacco user 0% 38 $0.00
3095F 0% 147 $0.00
3050F 0% 45 $0.00
2028F 0% 12 $0.00
1000F 0% 1,629 $0.00
1036F 0% 1,462 $0.00
3014F 0% 455 $0.00
3049F 0% 62 $0.00
3048F 0% 234 $0.00
G0437 Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes 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.