Physician
Reddy, Kalpana
Reddy, Kalpana was paid $1.50M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoREDDY, KALPANA
RICHMOND HILL, NY 11418
RICHMOND HILL, NY 11418
33aNPI1376647701assigned 09/07/2006
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$1.50M
24GClaims33,760
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in New York
Rank by total paid#11 of 344
Median peer was paid$9K
This provider vs. median167×
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 | 2,370 | $104K | |
| 2019 | 2,840 | $129K | |
| 2020 | 3,187 | $180K | |
| 2021 | 4,665 | $259K | |
| 2022 | 4,892 | $251K | |
| 2023 | 7,141 | $305K | |
| 2024incomplete | 8,665 | $279K |
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 | 45% | 9,254 | 9,013 | $671K |
| 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 | 15% | 1,991 | 1,980 | $230K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.2% | 2,530 | 2,466 | $139K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.8% | 2,906 | 1,008 | $103K |
| 99401 | 6.6% | 5,133 | 4,994 | $99K | |
| 99223 | Prolong inpt eval add15 m | 6.2% | 1,092 | 1,049 | $93K |
| 95250 | 4.5% | 813 | 801 | $68K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 2.6% | 1,283 | 1,220 | $39K |
| 95251 | 1.7% | 1,506 | 1,481 | $26K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 734 | 711 | $23K |
| 82962 | <1% | 5,309 | 5,164 | $5K | |
| 99490 | Ccm add 20min | <1% | 155 | 153 | $5K |
4 more codes
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 354 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 26 | $2K |
| 76536 | <1% | 14 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 660 | $218.48 |
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.