Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Setal Rana MD PA

Setal Rana MD PA was paid $228K by Medicaid between Sep 2020 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoSETAL RANA MD PA
DALLAS, TX 75217
33aNPI1396916284assigned 03/18/2008
28Total paid$228K
24GClaims8,958
24DCodes billed23
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Texas

Rank by total paid#284 of 1,204
Median peer was paid$31K
This provider vs. median7.4×

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$5.0K$10K2018201920202021202220232024
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
20201,017$20K
20212,256$59K
20222,183$58K
20232,232$56K
2024incomplete1,270$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35% 2,222 1,989 $79K
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 13% 603 577 $30K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 9.5% 246 246 $22K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.8% 258 252 $20K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 8.3% 445 431 $19K
90460 Immunization administration through 18 years of age via any route, first or only component 7.5% 1,674 1,200 $17K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.0% 148 148 $11K
S8301 Infection control supplies, not otherwise specified 3.7% 452 424 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.7% 469 254 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.5% 260 254 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.5% 437 363 $3K
94060 1.2% 67 67 $3K
11 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 118 $3K
92551 <1% 86 $815.06
96160 <1% 294 $618.36
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 176 $513.10
90461 <1% 201 $506.90
90686 <1% 537 $219.07
87807 <1% 13 $121.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 191 $10.65
1038F 0% 13 $0.00
90656 0% 27 $0.00
90734 0% 21 $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 officialRANA, SETAL (DOCTOR)