Daftary, Pramila
Daftary, Pramila was paid $412K by Medicaid between Nov 2020 and Dec 2024, across 10 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 44% of everything it billed.
33Billing provider infoDAFTARY, PRAMILA
WACO, TX 76712
WACO, TX 76712
33aNPI1255399945assigned 05/02/2006
33bProvider typeSpecialist
28Total paid$412K
24GClaims9,928
24DCodes billed10
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#75 of 382
Median peer was paid$29K
This provider vs. median14×
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 | 224 | $6K | |
| 2021 | 2,056 | $80K | |
| 2022 | 2,349 | $108K | |
| 2023 | 2,891 | $124K | |
| 2024incomplete | 2,408 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 44% | 901 | 881 | $179K |
| 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 | 18% | 1,529 | 1,450 | $74K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 18% | 365 | 358 | $74K |
| 95117 | 13% | 6,360 | 2,461 | $55K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 4.4% | 150 | 145 | $18K |
| 94060 | 1.0% | 113 | 113 | $4K | |
| 95115 | <1% | 398 | 176 | $3K | |
| 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 | <1% | 29 | 27 | $2K |
| 94016 | <1% | 69 | 69 | $1K | |
| 96160 | 0% | 14 | 12 | $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.