Physician
Reddy, Ajay
Reddy, Ajay was paid $42K by Medicaid between Jun 2020 and Jul 2022, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoREDDY, AJAY
ELKHORN, WI 53121
ELKHORN, WI 53121
33aNPI1366654865assigned 05/04/2007
33bProvider typeCardiovascular Disease Physician
28Total paid$42K
24GClaims2,626
24DCodes billed17
24AFirst – last monthJun 2020 – Jul 2022
Compared with peers
Next to other Cardiovascular Disease Physician providers in Wisconsin
Rank by total paid#8 of 72
Median peer was paid$544.40
This provider vs. median76×
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 | |
|---|---|---|---|
| 2020 | 2,243 | $34K | |
| 2021 | 180 | $2K | |
| 2022 | 203 | $6K |
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 | 55% | 488 | 400 | $23K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 36% | 497 | 94 | $15K |
| 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 | 3.0% | 16 | 14 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 24 | 23 | $908.78 |
| 99072 | 1.2% | 75 | 39 | $510.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 15 | 15 | $346.20 |
| 93000 | <1% | 16 | 13 | $328.73 | |
| 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% | 15 | 15 | $197.85 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 304 | 242 | $0.78 |
| G8482 | Influenza immunization administered or previously received | 0% | 68 | 60 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 279 | 220 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 270 | 218 | $0.00 |
5 more codes
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.