Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Kalathiya, Rohan

Kalathiya, Rohan was paid $127K by Medicaid between Aug 2019 and May 2023, across 9 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 56% of everything it billed.

33Billing provider infoKALATHIYA, ROHAN
BALTIMORE, MD 21224
33aNPI1295001659assigned 03/29/2012
28Total paid$127K
24GClaims9,000
24DCodes billed9
24AFirst – last monthAug 2019 – May 2023
Compared with peers

Next to other Interventional Cardiology Physician providers in Maryland

Rank by total paid#9 of 14
Median peer was paid$187K
This provider vs. median0.7×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2019877$12K
20202,319$28K
20212,605$37K
20222,022$29K
20231,177$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 56% 7,914 7,407 $71K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 20% 232 100 $26K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 14% 517 142 $17K
99223 Prolong inpt eval add15 m 5.8% 111 88 $7K
93458 1.5% 13 12 $2K
99152 <1% 170 141 $1K
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% 13 13 $984.70
99255 <1% 13 13 $871.00
99238 Hospital discharge day management, 30 minutes or less <1% 17 16 $510.68

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.