Physician
Raghavan, Madhu
Raghavan, Madhu was paid $192K by Medicaid between Jan 2018 and Mar 2022, across 16 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 27% of everything it billed.
33Billing provider infoRAGHAVAN, MADHU
WATSONVILLE, CA 95076
WATSONVILLE, CA 95076
33aNPI1235280827assigned 01/12/2007
33bProvider typePediatrics Physician
28Total paid$192K
24GClaims7,703
24DCodes billed16
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#369 of 1,490
Median peer was paid$15K
This provider vs. median13×
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 | 2,722 | $78K | |
| 2019 | 2,706 | $58K | |
| 2020 | 652 | $14K | |
| 2021 | 1,399 | $35K | |
| 2022 | 224 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 27% | 606 | 602 | $51K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 21% | 375 | 374 | $40K |
| 92552 | 20% | 1,228 | 1,224 | $38K | |
| 90686 | 9.0% | 982 | 980 | $17K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.3% | 1,163 | 1,066 | $14K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 176 | 171 | $13K |
| 99173 | 3.0% | 948 | 946 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 484 | 458 | $4K |
| 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 | 1.6% | 136 | 126 | $3K |
| 85018 | 1.1% | 907 | 895 | $2K | |
| 96127 | <1% | 201 | 201 | $1K | |
| 81000 | <1% | 356 | 341 | $1K |
4 more codes
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.