Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Rath, Kalyan

Rath, Kalyan was paid $473K by Medicaid between Aug 2019 and Nov 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

33Billing provider infoRATH, KALYAN
JASPER, TX 75951
33aNPI1639188147assigned 08/05/2006
28Total paid$473K
24GClaims20,603
24DCodes billed35
24AFirst – last monthAug 2019 – Nov 2024
Compared with peers

Next to other Rural Health Clinic/Center providers in Texas

Rank by total paid#109 of 225
Median peer was paid$428K
This provider vs. median1.1×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
201930$0.00
2020772$15K
20215,890$140K
20229,864$239K
20233,310$64K
2024incomplete737$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 3,513 2,826 $123K
87428 21% 1,543 1,465 $100K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15% 898 876 $70K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 730 711 $54K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.2% 474 455 $34K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5.2% 597 537 $25K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.8% 979 925 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.5% 1,283 1,218 $12K
90472 Immunization administration, each additional vaccine (list separately) 1.8% 753 685 $8K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.8% 130 115 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.5% 536 260 $7K
87631 1.4% 88 79 $7K
23 more codes
97803 1.4% 2,803 $7K
99000 <1% 152 $1K
87807 <1% 123 $1K
96160 <1% 1,258 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 190 $772.40
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 70 $436.19
99443 <1% 92 $433.58
81025 <1% 28 $208.89
81003 <1% 26 $45.14
81002 <1% 14 $42.91
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 160 $38.91
90632 <1% 26 $0.06
90733 <1% 13 $0.05
90670 0% 133 $0.00
90473 0% 17 $0.00
90715 0% 14 $0.00
S9451 Exercise classes, non-physician provider, per session 0% 2,723 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 932 $0.00
36416 0% 13 $0.00
96161 0% 105 $0.00
36415 Collection of venous blood by venipuncture 0% 129 $0.00
90647 0% 40 $0.00
90680 0% 18 $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.