Clinic
Maruthi Pediatrics PLLC
Maruthi Pediatrics PLLC was paid $466K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoMARUTHI PEDIATRICS PLLC
MORRISVILLE, NC 27560
MORRISVILLE, NC 27560
33aNPI1518148014assigned 11/26/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$466K
24GClaims42,871
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#40 of 116
Median peer was paid$226K
This provider vs. median2.1×
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 | 3,032 | $49K | |
| 2019 | 3,378 | $72K | |
| 2020 | 1,894 | $35K | |
| 2021 | 4,916 | $54K | |
| 2022 | 9,925 | $93K | |
| 2023 | 10,145 | $80K | |
| 2024incomplete | 9,581 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 34% | 2,111 | 1,458 | $160K |
| 99199 | Unlisted special service, procedure or report | 32% | 25,345 | 15,582 | $147K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 1,395 | 930 | $72K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.4% | 1,427 | 944 | $20K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.9% | 1,198 | 462 | $14K |
| 97802 | 2.3% | 1,310 | 757 | $11K | |
| 92587 | 1.4% | 438 | 297 | $7K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 106 | 56 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 190 | 129 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 446 | 361 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 765 | 510 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 180 | 127 | $4K |
16 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 42 | $3K |
| 88738 | <1% | 675 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $1K |
| 92551 | <1% | 170 | $682.58 | |
| 0072A | <1% | 16 | $553.57 | |
| 85018 | <1% | 752 | $479.80 | |
| 81002 | <1% | 482 | $394.54 | |
| 92558 | <1% | 656 | $306.72 | |
| 87807 | <1% | 16 | $197.82 | |
| 99177 | <1% | 1,372 | $127.89 | |
| 90686 | <1% | 401 | $57.21 | |
| 99173 | <1% | 51 | $56.62 | |
| 99000 | 0% | 3,223 | $0.00 | |
| 91307 | 0% | 51 | $0.00 | |
| 36416 | 0% | 27 | $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 officialDONTHI, BADRPRASAD (PRESIDENT)