Physician
Chanmugam, Jay
Chanmugam, Jay was paid $195K by Medicaid between Jan 2018 and Mar 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoCHANMUGAM, JAY
ORANGE CITY, FL 32763
ORANGE CITY, FL 32763
33aNPI1518905207assigned 06/03/2006
33bProvider typeGeneral Practice Physician
28Total paid$195K
24GClaims23,888
24DCodes billed33
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other General Practice Physician providers in Florida
Rank by total paid#90 of 420
Median peer was paid$23K
This provider vs. median8.7×
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 | 1,386 | $3K | |
| 2019 | 6,631 | $31K | |
| 2020 | 7,842 | $61K | |
| 2021 | 3,700 | $76K | |
| 2022 | 2,675 | $14K | |
| 2023 | 1,602 | $10K | |
| 2024incomplete | 52 | $1K |
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 | 66% | 7,325 | 5,841 | $129K |
| 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 | 26% | 1,701 | 1,468 | $51K |
| 99205 | Prolong outpt/office vis | 4.1% | 82 | 82 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 79 | 71 | $5K |
| 1126F | <1% | 1,139 | 1,063 | $645.42 | |
| 1125F | <1% | 846 | 772 | $543.33 | |
| 96160 | <1% | 1,091 | 911 | $397.36 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 72 | 53 | $226.74 |
| 93000 | <1% | 29 | 27 | $180.59 | |
| 99422 | <1% | 15 | 13 | $22.45 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | <1% | 887 | 820 | $13.07 |
| 81003 | <1% | 91 | 71 | $6.06 |
21 more codes
| 3077F | <1% | 321 | $0.01 | |
| 3074F | <1% | 2,058 | $0.01 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 1,007 | $0.01 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 856 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 84 | $0.00 |
| 1160F | 0% | 1,214 | $0.00 | |
| 1159F | 0% | 1,354 | $0.00 | |
| 3078F | 0% | 1,476 | $0.00 | |
| 99497 | 0% | 44 | $0.00 | |
| 99490 | Ccm add 20min | 0% | 21 | $0.00 |
| 1158F | 0% | 119 | $0.00 | |
| 99072 | 0% | 16 | $0.00 | |
| 99498 | 0% | 43 | $0.00 | |
| 3079F | 0% | 925 | $0.00 | |
| 1170F | 0% | 80 | $0.00 | |
| 3080F | 0% | 230 | $0.00 | |
| 3075F | 0% | 212 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 307 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 135 | $0.00 |
| 3048F | 0% | 12 | $0.00 | |
| 3044F | 0% | 17 | $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.