Physician
Manikanda Raja MD a Professional Medical Corporation
Manikanda Raja MD a Professional Medical Corporation was paid $403K by Medicaid between Jan 2018 and Nov 2024, across 55 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 47% of everything it billed.
33Billing provider infoMANIKANDA RAJA MD A PROFESSIONAL MEDICAL CORPORATION
HEMET, CA 92544
HEMET, CA 92544
33aNPI1497147847assigned 02/23/2015
33bProvider typeAddiction Medicine (Internal Medicine) Physician
28Total paid$403K
24GClaims82,040
24DCodes billed55
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Addiction Medicine (Internal Medicine) Physician providers in California
Rank by total paid#2 of 16
Median peer was paid$17K
This provider vs. median24×
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 | 5,692 | $44K | |
| 2019 | 12,650 | $43K | |
| 2020 | 8,107 | $42K | |
| 2021 | 8,708 | $29K | |
| 2022 | 11,399 | $15K | |
| 2023 | 15,280 | $43K | |
| 2024incomplete | 20,204 | $189K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 47% | 5,966 | 2,430 | $191K |
| 99222 | Initial hospital care, per day, moderate complexity | 20% | 1,252 | 1,227 | $80K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.5% | 675 | 285 | $38K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 6.7% | 2,012 | 2,006 | $27K |
| 99223 | Prolong inpt eval add15 m | 4.3% | 203 | 201 | $17K |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.2% | 675 | 645 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 15,422 | 14,731 | $15K |
| 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 | 2.1% | 8,000 | 7,835 | $8K |
| 99348 | <1% | 144 | 142 | $2K | |
| 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% | 531 | 530 | $1K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 177 | 171 | $1K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 539 | 539 | $1K |
43 more codes
| 93000 | <1% | 41 | $874.42 | |
| 90658 | <1% | 56 | $870.01 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,344 | $740.62 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 252 | $696.02 |
| 99349 | <1% | 24 | $369.93 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 264 | $104.94 |
| 88141 | <1% | 15 | $100.00 | |
| 3079F | <1% | 1,947 | $23.63 | |
| G0008 | Administration of influenza virus vaccine | <1% | 72 | $7.84 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,398 | $0.81 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 2,108 | $0.50 |
| 1170F | <1% | 910 | $0.05 | |
| 1036F | <1% | 5,048 | $0.02 | |
| 1034F | 0% | 176 | $0.00 | |
| 1101F | 0% | 1,183 | $0.00 | |
| 3044F | 0% | 321 | $0.00 | |
| 3074F | 0% | 8,580 | $0.00 | |
| 1157F | 0% | 702 | $0.00 | |
| 3075F | 0% | 1,590 | $0.00 | |
| 88142 | 0% | 13 | $0.00 | |
| 1125F | 0% | 206 | $0.00 | |
| 3008F | 0% | 856 | $0.00 | |
| 1126F | 0% | 287 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 914 | $0.00 |
| 3061F | 0% | 94 | $0.00 | |
| 99496 | 0% | 42 | $0.00 | |
| 99495 | 0% | 24 | $0.00 | |
| 3080F | 0% | 17 | $0.00 | |
| 90688 | 0% | 12 | $0.00 | |
| 3351F | 0% | 22 | $0.00 | |
| 3725F | 0% | 3,035 | $0.00 | |
| 3078F | 0% | 8,098 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 711 | $0.00 |
| 3288F | 0% | 2,253 | $0.00 | |
| 1158F | 0% | 692 | $0.00 | |
| 1160F | 0% | 705 | $0.00 | |
| 1090F | 0% | 397 | $0.00 | |
| 0521F | 0% | 258 | $0.00 | |
| 1159F | 0% | 705 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 12 | $0.00 |
| 3077F | 0% | 32 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 16 | $0.00 |
| 0518F | 0% | 12 | $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 officialRAJA, MANIKANDA (PRESIDENT)