Physician
Praful Sarode MD INC
Praful Sarode MD INC was paid $1.25M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoPRAFUL SARODE MD INC
SANTA ANA, CA 92705
SANTA ANA, CA 92705
33aNPI1366534760assigned 09/30/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.25M
24GClaims37,946
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#145 of 2,511
Median peer was paid$13K
This provider vs. median97×
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 | 6,160 | $193K | |
| 2019 | 7,156 | $234K | |
| 2020 | 5,366 | $199K | |
| 2021 | 5,683 | $219K | |
| 2022 | 4,749 | $171K | |
| 2023 | 4,817 | $173K | |
| 2024incomplete | 4,015 | $63K |
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 | 43% | 12,854 | 9,775 | $542K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 12% | 2,465 | 2,457 | $144K |
| 96156 | 8.8% | 2,680 | 2,671 | $110K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.0% | 1,058 | 1,057 | $62K |
| 99490 | Ccm add 20min | 3.9% | 1,201 | 1,199 | $49K |
| 92551 | 3.2% | 3,829 | 3,821 | $40K | |
| 99354 | 2.7% | 647 | 533 | $33K | |
| G9920 | Screening performed and negative | 2.6% | 2,295 | 2,291 | $32K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.4% | 730 | 244 | $30K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 628 | 628 | $30K |
| 92651 | 2.3% | 393 | 393 | $28K | |
| 99460 | 2.0% | 560 | 560 | $25K |
30 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | 1.5% | 450 | $19K |
| 97803 | 1.5% | 1,769 | $18K | |
| 96151 | 1.3% | 761 | $16K | |
| 99223 | Prolong inpt eval add15 m | 1.0% | 218 | $13K |
| 99462 | <1% | 427 | $9K | |
| 92586 | <1% | 138 | $9K | |
| 99497 | <1% | 160 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 145 | $7K |
| 90688 | <1% | 661 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 359 | $4K |
| 85018 | <1% | 1,173 | $3K | |
| 81000 | <1% | 830 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 52 | $2K |
| 97802 | <1% | 74 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 235 | $990.20 |
| 96127 | <1% | 346 | $730.71 | |
| 99347 | <1% | 27 | $675.92 | |
| 90734 | <1% | 75 | $675.00 | |
| 99498 | <1% | 16 | $433.20 | |
| 81002 | <1% | 416 | $390.14 | |
| 90715 | <1% | 42 | $369.00 | |
| 90658 | <1% | 48 | $292.05 | |
| 90650 | <1% | 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 | <1% | 41 | $149.76 |
| 90620 | <1% | 13 | $117.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 15 | $115.50 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 33 | $85.60 |
| 92552 | <1% | 29 | $26.90 | |
| 99173 | <1% | 26 | $22.40 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 12 | $0.00 |
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 officialSARODE, PRAFUL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Shine Healthcare INC. | Norwalk, CA | $946K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.