Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Raj Karnik MD INC

Raj Karnik MD INC was paid $48K by Medicaid between Jan 2018 and Apr 2021, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoRAJ KARNIK MD INC
HAMILTON, OH 45013
33aNPI1518309970assigned 07/25/2013
28Total paid$48K
24GClaims4,165
24DCodes billed6
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers

Next to other Cardiovascular Disease Physician providers in Ohio

Rank by total paid#32 of 111
Median peer was paid$9K
This provider vs. median5.3×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
20181,359$18K
20191,341$14K
20201,122$11K
2021343$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 43% 671 608 $20K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 40% 3,116 2,676 $19K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 12% 175 149 $6K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.0% 176 27 $2K
93016 <1% 13 12 $159.43
93018 <1% 14 13 $94.89

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 officialKARNIK, RAJMOHAN (OWNER)