Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Darby › NPI 1376556043
Physician

Pillai, Ajay

Pillai, Ajay was paid $14K by Medicaid between Jun 2020 and Sep 2023, across 3 billing codes. Its largest line is 94004, — 84% of everything it billed.

33Billing provider infoPILLAI, AJAY
DARBY, PA 19023
33aNPI1376556043assigned 08/14/2006
28Total paid$14K
24GClaims511
24DCodes billed3
24AFirst – last monthJun 2020 – Sep 2023
Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Pennsylvania

Rank by total paid#14 of 58
Median peer was paid$5K
This provider vs. median3.0×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2020206$5K
202192$2K
202295$3K
2023118$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
94004 84% 401 193 $11K
99308 Subsequent nursing facility care, per day, straightforward 16% 98 45 $2K
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 <1% 12 12 $59.86

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.