Malik, Priya

Malik, Priya was paid $186K by Medicaid between Jan 2018 and Mar 2023, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoMALIK, PRIYA
WILBRAHAM, MA 01095

33aNPI1346542313assigned 11/24/2010

33bProvider typePediatrics Physician

28Total paid$186K

24GClaims5,941

24DCodes billed19

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#302 of 1,273

Median peer was paid$24K

This provider vs. median7.8×

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	702	$32K
2019	983	$33K
2020	1,139	$35K
2021	1,158	$36K
2022	1,595	$41K
2023	364	$9K

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	31%	620	599	$58K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	863	841	$48K
90460	Immunization administration through 18 years of age via any route, first or only component	13%	586	582	$25K
96110	Developmental screening, with scoring and documentation, per standardized instrument	6.2%	842	827	$12K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	5.8%	1,191	1,189	$11K
96127		4.6%	605	570	$9K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	2.9%	107	106	$5K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.4%	55	55	$4K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.9%	43	43	$4K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	1.2%	93	92	$2K
99173		1.0%	85	85	$2K
90461		<1%	44	44	$2K

7 more codes

94760		<1%	648	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	61	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	43	$1K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	13	$1K
99188		<1%	16	$416.00
99051		<1%	12	$198.72
96160		<1%	14	$54.04

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.