Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRAFUL SARODE MD INC

NPI: 1366534760 · SANTA ANA, CA 92705 · Family Medicine Physician · NPI assigned 09/30/2006

$1.25M
Total Medicaid Paid
37,946
Total Claims
33,968
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSARODE, PRAFUL (CEO)
NPI Enumeration Date09/30/2006

Related Entities

Other providers sharing the same authorized official: SARODE, PRAFUL

ProviderCityStateTotal Paid
SHINE HEALTHCARE INC. NORWALK CA $946K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,160 $193K
2019 7,156 $234K
2020 5,366 $199K
2021 5,683 $219K
2022 4,749 $171K
2023 4,817 $173K
2024 4,015 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,854 9,775 $542K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,465 2,457 $144K
96156 2,680 2,671 $110K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,058 1,057 $62K
99490 Ccm add 20min 1,201 1,199 $49K
92551 3,829 3,821 $40K
99354 647 533 $33K
G9920 Screening performed and negative 2,295 2,291 $32K
99233 Prolong inpt eval add15 m 730 244 $30K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 628 628 $30K
92651 393 393 $28K
99460 560 560 $25K
99239 Hospital discharge day management, more than 30 minutes 450 445 $19K
97803 1,769 1,761 $18K
96151 761 757 $16K
99223 Prolong inpt eval add15 m 218 216 $13K
99462 427 285 $9K
92586 138 137 $9K
99497 160 150 $9K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 145 145 $7K
90688 661 660 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 359 321 $4K
85018 1,173 1,169 $3K
81000 830 826 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 52 50 $2K
97802 74 73 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 235 206 $990.20
96127 346 346 $730.71
99347 27 13 $675.92
90734 75 75 $675.00
99498 16 16 $433.20
81002 416 414 $390.14
90715 42 42 $369.00
90658 48 48 $292.05
90650 15 15 $258.59
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 41 41 $149.76
90620 13 13 $117.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 15 15 $115.50
G8510 Screening for depression is documented as negative, a follow-up plan is not required 33 33 $85.60
92552 29 29 $26.90
99173 26 26 $22.40
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $0.00