Madisetty, Sudhir
Madisetty, Sudhir was paid $867K by Medicaid between Sep 2020 and Dec 2024, across 28 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 34% of everything it billed.
33Billing provider infoMADISETTY, SUDHIR
WACO, TX 76710
WACO, TX 76710
33aNPI1588672760assigned 08/04/2006
33bProvider typeSpecialist
28Total paid$867K
24GClaims21,731
24DCodes billed28
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Specialist providers in Texas
Rank by total paid#45 of 382
Median peer was paid$29K
This provider vs. median30×
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 | |
|---|---|---|---|
| 2020 | 981 | $30K | |
| 2021 | 6,607 | $219K | |
| 2022 | 6,137 | $233K | |
| 2023 | 4,970 | $229K | |
| 2024incomplete | 3,036 | $156K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 34% | 3,689 | 2,970 | $294K |
| 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 | 29% | 4,928 | 4,046 | $252K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.5% | 923 | 919 | $74K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.6% | 884 | 872 | $66K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 1,564 | 1,388 | $57K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.5% | 4,000 | 2,041 | $39K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 387 | 384 | $26K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 1.7% | 1,102 | 781 | $15K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.3% | 88 | 86 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 134 | 133 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 988 | 891 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 169 | 161 | $7K |
16 more codes
| 99429 | <1% | 100 | $3K | |
| 90461 | <1% | 1,312 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 97 | $1K |
| 0001A | <1% | 82 | $630.00 | |
| 0072A | <1% | 14 | $560.00 | |
| 0002A | <1% | 49 | $500.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 33 | $375.30 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $291.94 |
| 96160 | <1% | 14 | $24.75 | |
| 91307 | <1% | 92 | $0.04 | |
| 90686 | <1% | 637 | $0.02 | |
| 90651 | <1% | 146 | $0.01 | |
| 91300 | 0% | 60 | $0.00 | |
| 90670 | 0% | 110 | $0.00 | |
| 90734 | 0% | 94 | $0.00 | |
| 90715 | 0% | 23 | $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.