Physician
Edara, Anusha
Edara, Anusha was paid $3K by Medicaid between Oct 2020 and Jan 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoEDARA, ANUSHA
JOHNSTOWN, PA 15904
JOHNSTOWN, PA 15904
33aNPI1235542424assigned 06/05/2014
33bProvider typeNeurology Physician
28Total paid$3K
24GClaims602
24DCodes billed5
24AFirst – last monthOct 2020 – Jan 2024
Compared with peers
Next to other Neurology Physician providers in Pennsylvania
Rank by total paid#99 of 165
Median peer was paid$5K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2020 | 34 | $0.00 | |
| 2021 | 196 | $347.05 | |
| 2022 | 190 | $465.39 | |
| 2023 | 147 | $1K | |
| 2024incomplete | 35 | $735.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 50% | 58 | 58 | $1K |
| 95800 | 27% | 26 | 26 | $812.44 | |
| 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 | 23% | 14 | 14 | $693.11 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 447 | 445 | $0.00 |
| 3288F | 0% | 57 | 57 | $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.