Physician
Raj, Madankumar
Raj, Madankumar was paid $21K by Medicaid between Sep 2018 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoRAJ, MADANKUMAR
GREAT NECK, NY 11021
GREAT NECK, NY 11021
33aNPI1528029162assigned 03/31/2006
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$21K
24GClaims1,186
24DCodes billed4
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in New York
Rank by total paid#49 of 104
Median peer was paid$17K
This provider vs. median1.2×
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 | 42 | $431.27 | |
| 2019 | 217 | $5K | |
| 2020 | 187 | $2K | |
| 2021 | 220 | $3K | |
| 2022 | 114 | $1K | |
| 2023 | 173 | $4K | |
| 2024incomplete | 233 | $6K |
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 | 71% | 882 | 841 | $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 | 27% | 205 | 197 | $6K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1.6% | 64 | 55 | $336.25 |
| 99072 | 0% | 35 | 28 | $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.