Physician
Lakshmi K Avala MD INC
Lakshmi K Avala MD INC was paid $2.85M by Medicaid between Aug 2018 and Dec 2024, across 79 billing codes. Its largest line is 96156, — 19% of everything it billed.
33Billing provider infoLAKSHMI K AVALA MD INC
CITRUS HEIGHTS, CA 95621
CITRUS HEIGHTS, CA 95621
33aNPI1215428784assigned 05/21/2018
33bProvider typePediatrics Physician
28Total paid$2.85M
24GClaims212,007
24DCodes billed79
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#50 of 1,490
Median peer was paid$15K
This provider vs. median190×
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 | 533 | $2K | |
| 2019 | 8,195 | $62K | |
| 2020 | 34,838 | $265K | |
| 2021 | 43,717 | $424K | |
| 2022 | 37,710 | $436K | |
| 2023 | 35,572 | $536K | |
| 2024incomplete | 51,442 | $1.12M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 19% | 18,720 | 18,424 | $547K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 22,707 | 19,727 | $296K |
| 96112 | 9.0% | 13,920 | 13,644 | $258K | |
| G9920 | Screening performed and negative | 9.0% | 22,317 | 21,929 | $255K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.5% | 4,962 | 4,883 | $215K |
| 97802 | 6.7% | 21,389 | 20,871 | $191K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 4,872 | 4,820 | $129K |
| 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 | 3.7% | 1,805 | 1,790 | $105K |
| 90697 | 3.2% | 1,662 | 1,591 | $90K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 2,544 | 2,521 | $88K |
| 99383 | 2.7% | 2,151 | 2,140 | $77K | |
| 99384 | 2.2% | 1,794 | 1,782 | $64K |
67 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 1,936 | $59K |
| 90670 | 2.0% | 3,195 | $58K | |
| 99382 | 1.8% | 1,283 | $52K | |
| 99381 | 1.6% | 731 | $46K | |
| 90651 | 1.1% | 1,416 | $33K | |
| 92551 | 1.1% | 11,374 | $32K | |
| 80061 | Lipid panel | <1% | 12,090 | $28K |
| 90671 | <1% | 827 | $24K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,632 | $21K |
| 90620 | <1% | 1,038 | $20K | |
| 90680 | <1% | 2,633 | $17K | |
| 90710 | <1% | 1,295 | $17K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,471 | $15K |
| 92081 | <1% | 8,401 | $14K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 11,311 | $11K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 446 | $10K |
| 90633 | <1% | 2,374 | $6K | |
| 90744 | <1% | 1,671 | $6K | |
| 90698 | <1% | 1,943 | $6K | |
| 90686 | <1% | 3,447 | $5K | |
| 90677 | <1% | 332 | $4K | |
| 83655 | <1% | 856 | $3K | |
| 90619 | <1% | 543 | $3K | |
| 90700 | <1% | 1,202 | $3K | |
| 90716 | <1% | 690 | $3K | |
| 90649 | <1% | 175 | $3K | |
| 99385 | <1% | 78 | $3K | |
| 90461 | <1% | 2,203 | $3K | |
| 90480 | <1% | 165 | $3K | |
| 91321 | <1% | 145 | $2K | |
| 90715 | <1% | 755 | $2K | |
| 0071A | <1% | 119 | $2K | |
| 90656 | <1% | 416 | $2K | |
| 0072A | <1% | 106 | $2K | |
| 90648 | <1% | 785 | $2K | |
| 90696 | <1% | 560 | $2K | |
| 90734 | <1% | 828 | $2K | |
| 90681 | <1% | 195 | $1K | |
| 90707 | <1% | 452 | $1K | |
| 0081A | <1% | 39 | $880.00 | |
| 99401 | <1% | 1,880 | $810.40 | |
| 85018 | <1% | 1,026 | $678.22 | |
| 96150 | <1% | 868 | $608.70 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $602.23 |
| 87430 | <1% | 280 | $575.95 | |
| 90672 | <1% | 163 | $524.97 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 43 | $465.45 |
| 0082A | <1% | 24 | $440.00 | |
| 90713 | <1% | 111 | $415.62 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 53 | $267.03 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 791 | $236.40 |
| 69210 | <1% | 151 | $230.44 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 457 | $210.13 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 470 | $175.55 |
| 99173 | <1% | 492 | $147.44 | |
| 92552 | <1% | 75 | $76.49 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 99 | $36.31 |
| 36415 | Collection of venous blood by venipuncture | <1% | 344 | $29.57 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 502 | $22.04 |
| 81003 | <1% | 51 | $13.70 | |
| 81002 | <1% | 171 | $2.58 | |
| 96127 | 0% | 19 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 125 | $0.00 |
| 99408 | 0% | 690 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 35 | $0.00 |
| 90473 | 0% | 44 | $0.00 | |
| 91322 | 0% | 28 | $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 officialAVALA, LAKSHMI (OWNER)