Physician
Rajesh Mariwalla, MD PC
Rajesh Mariwalla, MD PC was paid $647K by Medicaid between Dec 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoRAJESH MARIWALLA, MD PC
WEST ISLIP, NY 11795
WEST ISLIP, NY 11795
33aNPI1457741035assigned 02/03/2015
33bProvider typePediatrics Physician
28Total paid$647K
24GClaims19,976
24DCodes billed34
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#361 of 1,983
Median peer was paid$17K
This provider vs. median38×
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 | 15 | $799.34 | |
| 2019 | 1,161 | $38K | |
| 2020 | 1,109 | $30K | |
| 2021 | 1,251 | $49K | |
| 2022 | 2,464 | $86K | |
| 2023 | 3,274 | $104K | |
| 2024incomplete | 10,702 | $339K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 65% | 5,717 | 4,796 | $420K |
| 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 | 6.4% | 377 | 367 | $41K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.8% | 2,248 | 2,195 | $38K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 330 | 330 | $26K |
| 87428 | 3.4% | 645 | 620 | $22K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.8% | 226 | 226 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 170 | 170 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 159 | 150 | $12K |
| 92551 | 1.6% | 1,352 | 1,350 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 1,410 | 1,391 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 930 | 902 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 77 | 77 | $4K |
22 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 251 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 119 | $4K |
| 99384 | <1% | 34 | $4K | |
| 99383 | <1% | 28 | $3K | |
| 87184 | <1% | 505 | $2K | |
| 87081 | <1% | 528 | $2K | |
| 90461 | <1% | 367 | $2K | |
| 81003 | <1% | 1,074 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $2K |
| 99402 | <1% | 201 | $1K | |
| 99403 | <1% | 135 | $1K | |
| 99173 | <1% | 1,194 | $773.10 | |
| 96160 | <1% | 376 | $720.68 | |
| 81000 | <1% | 168 | $624.60 | |
| 96127 | <1% | 89 | $318.53 | |
| 90661 | <1% | 16 | $223.04 | |
| 90656 | <1% | 49 | $111.75 | |
| 90686 | <1% | 88 | $22.65 | |
| 99401 | 0% | 202 | $0.00 | |
| 99000 | 0% | 873 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 90619 | 0% | 14 | $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 officialMARIWALLA, RAJESH (MD)