Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › South Kingstown › NPI 1164927760
Physician

Bhattacharya, Prateek

Bhattacharya, Prateek was paid $186K by Medicaid between Sep 2021 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoBHATTACHARYA, PRATEEK
SOUTH KINGSTOWN, RI 02879
33aNPI1164927760assigned 03/26/2018
33bProvider typePediatrics Physician
28Total paid$186K
24GClaims3,403
24DCodes billed16
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#101 of 265
Median peer was paid$133K
This provider vs. median1.4×

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$5.0K$10K2018201920202021202220232024
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
2021179$9K
2022826$49K
20231,371$70K
2024incomplete1,027$57K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 64% 1,506 1,361 $119K
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 10% 178 163 $19K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10.0% 172 169 $19K
90460 Immunization administration through 18 years of age via any route, first or only component 5.9% 923 525 $11K
90461 3.2% 201 168 $6K
87428 2.1% 65 63 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.0% 40 37 $4K
99050 <1% 39 37 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 13 12 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 95 90 $980.38
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 31 31 $384.30
96127 <1% 50 50 $156.73
4 more codes
96160 <1% 51 $152.18
87807 <1% 12 $120.98
99000 <1% 12 $31.55
90686 <1% 15 $7.00

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.