Dave, Prafull
Dave, Prafull was paid $419K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoDAVE, PRAFULL
FREDERICK, MD 21702
FREDERICK, MD 21702
33aNPI1326008582assigned 03/23/2006
33bProvider typeSpecialist
28Total paid$419K
24GClaims4,816
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Maryland
Rank by total paid#68 of 218
Median peer was paid$88K
This provider vs. median4.8×
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 | 209 | $22K | |
| 2019 | 146 | $9K | |
| 2020 | 825 | $62K | |
| 2021 | 705 | $58K | |
| 2022 | 928 | $86K | |
| 2023 | 1,024 | $93K | |
| 2024incomplete | 979 | $89K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 75% | 3,575 | 3,231 | $314K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 860 | 779 | $58K |
| 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 | 6.9% | 205 | 196 | $29K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 67 | 66 | $6K |
| 95819 | 1.2% | 63 | 58 | $5K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 34 | 30 | $4K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 12 | 12 | $2K |
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.