Physician
Guruprasad Raju, MD, PLLC
Guruprasad Raju, MD, PLLC was paid $209K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 50% of everything it billed.
33Billing provider infoGURUPRASAD RAJU, MD, PLLC
TUCSON, AZ 85715
TUCSON, AZ 85715
33aNPI1356459044assigned 08/25/2006
33bProvider typeInternal Medicine Physician
28Total paid$209K
24GClaims4,091
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Arizona
Rank by total paid#132 of 395
Median peer was paid$68K
This provider vs. median3.1×
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 | 950 | $45K | |
| 2019 | 627 | $28K | |
| 2020 | 443 | $23K | |
| 2021 | 333 | $19K | |
| 2022 | 639 | $35K | |
| 2023 | 412 | $21K | |
| 2024incomplete | 687 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 50% | 2,004 | 897 | $105K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 13% | 674 | 266 | $27K |
| 99310 | Prolong nursin fac eval 15m | 9.4% | 252 | 89 | $20K |
| 99223 | Prolong inpt eval add15 m | 9.1% | 204 | 195 | $19K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.2% | 507 | 287 | $17K |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.4% | 282 | 273 | $11K |
| 99306 | Prolong nursin fac eval 15m | 3.0% | 76 | 70 | $6K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 66 | 63 | $2K |
| 99497 | <1% | 13 | 13 | $512.67 | |
| 99217 | <1% | 13 | 12 | $441.07 |
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.
From NPPES
Who's on the registration
Authorized officialRAJU, GURUPRASAD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Arizona Inpatient Medicine Associates LLC | Tucson, AZ | $16.54M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.