Raju, Sivashanmugam

Raju, Sivashanmugam was paid $73K by Medicaid between Apr 2018 and Nov 2024, across 4 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 53% of everything it billed.

33Billing provider infoRAJU, SIVASHANMUGAM
SAINT LOUIS, MO 63104

33aNPI1336572544assigned 08/12/2013

33bProvider typeOrthopaedic Surgery Physician

28Total paid$73K

24GClaims1,392

24DCodes billed4

24AFirst – last monthApr 2018 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Missouri

Rank by total paid#12 of 67

Median peer was paid$7K

This provider vs. median11×

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	231	$14K
2019	698	$37K
2020	335	$16K
2021	17	$573.75
2022	29	$1K
2023	51	$3K
2024incomplete	31	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	53%	583	537	$38K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	42%	746	675	$31K
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	3.1%	49	48	$2K
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	1.6%	14	13	$1K

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.