Jai Siddhi Vinayak INC.

Jai Siddhi Vinayak INC. was paid $8K by Medicaid between Apr 2018 and Oct 2021, across 8 billing codes. Its largest line is 0031A, — 39% of everything it billed.

33Billing provider infoJAI SIDDHI VINAYAK INC.
WINSTON SALEM, NC 27101

33aNPI1407188451assigned 02/02/2010

33bProvider typeCommunity/Retail Pharmacy

28Total paid$8K

24GClaims564

24DCodes billed8

24AFirst – last monthApr 2018 – Oct 2021

Compared with peers

Next to other Community/Retail Pharmacy providers in North Carolina

Rank by total paid#61 of 283

Median peer was paid$2K

This provider vs. median3.6×

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	99	$385.70
2019	121	$1K
2020	103	$2K
2021	241	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0031A		39%	95	76	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	22%	175	142	$2K
A4670	Automatic blood pressure monitor	20%	31	31	$2K
90686		8.2%	97	76	$685.16
T4521	Adult sized disposable incontinence product, brief/diaper, small, each	7.9%	12	12	$664.17
90688		3.3%	21	16	$280.16
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	0%	39	39	$0.00
91303		0%	94	77	$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 officialMODI, SHRADDHA (PRESIDENT)