Martin-Garg, Prafulla

Martin-Garg, Prafulla was paid $11K by Medicaid between Feb 2018 and Nov 2020, across 3 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 94% of everything it billed.

33Billing provider infoMARTIN-GARG, PRAFULLA
LOGAN, UT 84341

33aNPI1437168721assigned 08/05/2006

33bProvider typePediatrics Physician

28Total paid$11K

24GClaims282

24DCodes billed3

24AFirst – last monthFeb 2018 – Nov 2020

Compared with peers

Next to other Pediatrics Physician providers in Utah

Rank by total paid#165 of 299

Median peer was paid$16K

This provider vs. median0.7×

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	39	$3K
2019	106	$5K
2020	137	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	94%	173	172	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.5%	14	14	$506.52
90686		1.7%	95	95	$193.01

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.