Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VIJI PRADEEP KODUVATH PLLC

NPI: 1528528114 · GARLAND, TX 75040 · Family Medicine Physician · NPI assigned 03/21/2019

$51K
Total Medicaid Paid
1,687
Total Claims
1,019
Beneficiaries
6
Codes Billed
2020-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialTEMPLE, ALISON (BILLING ADMINISTRATOR)
NPI Enumeration Date03/21/2019

Related Entities

Other providers sharing the same authorized official: TEMPLE, ALISON

ProviderCityStateTotal Paid
ACELLERATED INTERVENTIONAL ORTHOPEDICS DECATUR TX $588.52

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 19 $647.02
2021 497 $13K
2022 544 $18K
2023 349 $12K
2024 278 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,396 766 $48K
36410 116 106 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 15 13 $755.57
99000 107 92 $705.18
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 12 $440.72
99401 37 30 $104.04