Buddaraju, Ajay Kumar

Buddaraju, Ajay Kumar was paid $94K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 95% of everything it billed.

33Billing provider infoBUDDARAJU, AJAY KUMAR
STERLING, IL 61081

33aNPI1548247448assigned 12/30/2005

33bProvider typeRheumatology Physician

28Total paid$94K

24GClaims2,585

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Rheumatology Physician providers in Illinois

Rank by total paid#32 of 140

Median peer was paid$20K

This provider vs. median4.7×

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	502	$18K
2019	551	$19K
2020	529	$19K
2021	311	$11K
2022	263	$10K
2023	247	$8K
2024incomplete	182	$9K

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	95%	2,530	2,319	$89K
99244	Office or other outpatient consultation, moderate to high complexity	4.9%	40	40	$5K
36415	Collection of venous blood by venipuncture	<1%	15	12	$4.10

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.