Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rai, Karishma

Rai, Karishma was paid $219K by Medicaid between Jan 2018 and Nov 2020, across 13 billing codes. Its largest line is 76816, Ultrasound, pregnant uterus, real time with image documentation, follow-up — 33% of everything it billed.

33Billing provider infoRAI, KARISHMA
SACRAMENTO, CA 95816
33aNPI1174702948assigned 10/30/2007
28Total paid$219K
24GClaims5,633
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in California

Rank by total paid#29 of 45
Median peer was paid$631K
This provider vs. median0.3×

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$10K$20K2018201920202021202220232024
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
20181,046$36K
20191,960$71K
20202,627$111K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 33% 1,174 1,054 $71K
76818 17% 638 420 $37K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 13% 386 324 $28K
59025 Fetal non-stress test 11% 1,579 710 $25K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 7.4% 301 256 $16K
0502F 6.0% 297 205 $13K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4.4% 161 132 $10K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3.2% 130 116 $7K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.4% 226 55 $5K
76820 1.3% 51 39 $3K
76801 <1% 28 28 $2K
81002 <1% 478 380 $1K
1 more codes
81003 <1% 184 $392.40

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.