Physician
Gadam M. Rao,md,pa
Gadam M. Rao,md,pa was paid $870K by Medicaid between Oct 2020 and Dec 2023, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoGADAM M. RAO,MD,PA
WICHITA FALLS, TX 76301
WICHITA FALLS, TX 76301
33aNPI1164516183assigned 10/03/2006
33bProvider typePediatrics Physician
28Total paid$870K
24GClaims32,572
24DCodes billed35
24AFirst – last monthOct 2020 – Dec 2023
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#398 of 1,136
Median peer was paid$329K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2020 | 1,259 | $28K | |
| 2021 | 11,378 | $282K | |
| 2022 | 11,155 | $297K | |
| 2023 | 8,780 | $263K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 5,685 | 5,046 | $203K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 1,669 | 1,606 | $133K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 1,606 | 1,575 | $124K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 1,528 | 1,337 | $114K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.9% | 1,052 | 967 | $86K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.3% | 7,586 | 3,176 | $72K |
| 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 | 5.3% | 927 | 889 | $46K |
| 99429 | 4.9% | 1,307 | 1,278 | $43K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 1,666 | 1,208 | $13K |
| 90461 | 1.3% | 2,163 | 1,807 | $12K | |
| 99000 | <1% | 719 | 694 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 354 | 174 | $5K |
23 more codes
| 83655 | <1% | 331 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 254 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 40 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 143 | $2K |
| 87807 | <1% | 138 | $1K | |
| 85018 | <1% | 164 | $82.24 | |
| 90670 | 0% | 1,051 | $0.00 | |
| 90734 | 0% | 160 | $0.00 | |
| 90633 | 0% | 466 | $0.00 | |
| 90710 | 0% | 63 | $0.00 | |
| 90700 | 0% | 41 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 90707 | 0% | 37 | $0.00 | |
| 90647 | 0% | 505 | $0.00 | |
| 90677 | 0% | 70 | $0.00 | |
| 90723 | 0% | 471 | $0.00 | |
| 90686 | 0% | 1,185 | $0.00 | |
| 90680 | 0% | 762 | $0.00 | |
| 90651 | 0% | 265 | $0.00 | |
| 90696 | 0% | 39 | $0.00 | |
| 90716 | 0% | 37 | $0.00 | |
| 90619 | 0% | 33 | $0.00 | |
| 90698 | 0% | 42 | $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 officialRAO, GADAM (PHYSICIAN)