Clinic
Padmini Bhadriraju MD P.A.
Padmini Bhadriraju MD P.A. was paid $550K by Medicaid between Sep 2018 and Dec 2024, across 24 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 43% of everything it billed.
33Billing provider infoPADMINI BHADRIRAJU MD P.A.
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1619278876assigned 11/04/2010
33bProvider typePrimary Care Clinic/Center
28Total paid$550K
24GClaims18,536
24DCodes billed24
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#28 of 180
Median peer was paid$25K
This provider vs. median22×
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 | 628 | $14K | |
| 2019 | 2,573 | $50K | |
| 2020 | 1,628 | $39K | |
| 2021 | 1,985 | $71K | |
| 2022 | 2,998 | $117K | |
| 2023 | 2,235 | $118K | |
| 2024incomplete | 6,489 | $141K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 43% | 6,462 | 2,350 | $237K |
| 99223 | Prolong inpt eval add15 m | 20% | 1,833 | 1,761 | $111K |
| 99239 | Hospital discharge day management, more than 30 minutes | 12% | 1,644 | 1,571 | $68K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 10% | 2,977 | 1,240 | $57K |
| 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 | 7.5% | 1,192 | 860 | $41K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.6% | 200 | 64 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 475 | 363 | $13K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 43 | 42 | $962.82 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | 12 | $569.02 |
| 99497 | <1% | 417 | 406 | $417.60 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 33 | 12 | $33.08 |
| 1160F | 0% | 512 | 324 | $0.00 |
12 more codes
| 0521F | 0% | 213 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 212 | $0.00 |
| 3078F | 0% | 114 | $0.00 | |
| 1159F | 0% | 536 | $0.00 | |
| 99490 | Ccm add 20min | 0% | 68 | $0.00 |
| 1036F | 0% | 425 | $0.00 | |
| 2000F | 0% | 309 | $0.00 | |
| 3074F | 0% | 129 | $0.00 | |
| 1125F | 0% | 265 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 39 | $0.00 |
| 1000F | 0% | 402 | $0.00 | |
| 1126F | 0% | 24 | $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.
From NPPES
Who's on the registration
Authorized officialBHADRIRAJU, PADMINI (PRESIDENT)