Physician
Sekar, Guna
Sekar, Guna was paid $473K by Medicaid between Apr 2019 and Jul 2021, across 29 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 20% of everything it billed.
33Billing provider infoSEKAR, GUNA
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
33aNPI1225184658assigned 01/26/2007
33bProvider typePediatrics Physician
28Total paid$473K
24GClaims11,182
24DCodes billed29
24AFirst – last monthApr 2019 – Jul 2021
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#66 of 220
Median peer was paid$57K
This provider vs. median8.2×
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 | |
|---|---|---|---|
| 2019 | 1,431 | $59K | |
| 2020 | 6,354 | $261K | |
| 2021 | 3,397 | $153K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 20% | 993 | 984 | $95K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 902 | 890 | $90K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19% | 2,170 | 2,148 | $88K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 927 | 905 | $64K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.5% | 441 | 437 | $45K |
| 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 | 6.3% | 293 | 289 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.8% | 554 | 539 | $23K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 182 | 179 | $20K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.1% | 71 | 71 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 434 | 414 | $5K |
| 99460 | <1% | 46 | 46 | $4K | |
| 99188 | <1% | 107 | 103 | $2K |
17 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | $872.07 |
| 85018 | <1% | 288 | $862.96 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29 | $686.02 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | $399.03 |
| 36416 | <1% | 328 | $107.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 259 | $60.75 |
| 90716 | 0% | 70 | $0.00 | |
| 90696 | 0% | 25 | $0.00 | |
| 90744 | 0% | 313 | $0.00 | |
| 90686 | 0% | 511 | $0.00 | |
| 90698 | 0% | 767 | $0.00 | |
| 90670 | 0% | 803 | $0.00 | |
| 90710 | 0% | 39 | $0.00 | |
| 90681 | 0% | 273 | $0.00 | |
| 90633 | 0% | 220 | $0.00 | |
| 90707 | 0% | 70 | $0.00 | |
| 90734 | 0% | 13 | $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.