Kandala, Rajiv

Kandala, Rajiv was paid $1.55M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 53% of everything it billed.

33Billing provider infoKANDALA, RAJIV
CHICAGO, IL 60649

33aNPI1376608059assigned 12/24/2006

33bProvider typeFamily Medicine Physician

28Total paid$1.55M

24GClaims45,789

24DCodes billed20

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#58 of 2,947

Median peer was paid$43K

This provider vs. median37×

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	2,367	$44K
2019	5,281	$125K
2020	7,668	$231K
2021	7,749	$273K
2022	9,680	$364K
2023	8,691	$304K
2024incomplete	4,353	$213K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	53%	26,745	6,875	$831K
99222	Initial hospital care, per day, moderate complexity	14%	3,534	3,101	$216K
99231	Subsequent hospital care, per day, straightforward or low complexity	8.7%	6,813	2,307	$135K
99220		5.5%	1,222	885	$86K
99238	Hospital discharge day management, 30 minutes or less	4.2%	2,210	1,919	$65K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	3.3%	1,549	585	$52K
99223	Prolong inpt eval add15 m	2.8%	600	473	$43K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.2%	815	456	$35K
99221		2.0%	569	518	$31K
99239	Hospital discharge day management, more than 30 minutes	1.4%	613	481	$22K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	423	346	$15K
99219		<1%	158	135	$10K

8 more codes

99305		<1%	59	$4K
99217		<1%	204	$4K
99253		<1%	44	$2K
99308	Subsequent nursing facility care, per day, straightforward	<1%	146	$2K
99218		<1%	21	$1K
99254		<1%	16	$617.52
99307		<1%	35	$320.14
99225		<1%	13	$222.19

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.