Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$500$1.0K$1.5K2018201920202021202220232024
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
202034$0.00
2021196$347.05
2022190$465.39
2023147$1K
2024incomplete35$735.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.