Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Barbourville › NPI 1457367898
Physician

Vora, Raju

Vora, Raju was paid $116K by Medicaid between Jan 2018 and Dec 2018, across 8 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 26% of everything it billed.

33Billing provider infoVORA, RAJU
BARBOURVILLE, KY 40906
33aNPI1457367898assigned 07/31/2006
28Total paid$116K
24GClaims1,887
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Gastroenterology Physician providers in Kentucky

Rank by total paid#12 of 23
Median peer was paid$116K
This provider vs. median1.0×

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$10K$20K$30K2018201920202021202220232024
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
20181,887$116K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99244 Office or other outpatient consultation, moderate to high complexity 26% 261 248 $31K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 21% 256 229 $25K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 780 715 $24K
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 18% 478 446 $21K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 5.4% 55 43 $6K
45384 5.3% 27 26 $6K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.9% 12 12 $2K
99223 Prolong inpt eval add15 m <1% 18 13 $834.75

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.