Physician
Mayura Madani M.D.P.L.L.C.
Mayura Madani M.D.P.L.L.C. was paid $1.73M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 23% of everything it billed.
33Billing provider infoMAYURA MADANI M.D.P.L.L.C.
DETROIT, MI 48201
DETROIT, MI 48201
33aNPI1639512817assigned 04/08/2013
33bProvider typePediatrics Physician
28Total paid$1.73M
24GClaims50,042
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#75 of 349
Median peer was paid$321K
This provider vs. median5.4×
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 | 10,529 | $322K | |
| 2019 | 10,647 | $326K | |
| 2020 | 6,591 | $199K | |
| 2021 | 8,117 | $268K | |
| 2022 | 7,091 | $266K | |
| 2023 | 5,133 | $241K | |
| 2024incomplete | 1,934 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 23% | 5,168 | 5,109 | $405K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 4,144 | 3,977 | $274K |
| 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 | 13% | 2,495 | 2,352 | $233K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 3,462 | 3,290 | $219K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 9,209 | 8,931 | $183K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 2,241 | 2,233 | $182K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 1,666 | 1,624 | $64K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.2% | 1,207 | 1,187 | $38K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 2,227 | 2,145 | $28K |
| 99381 | <1% | 200 | 197 | $17K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 419 | 406 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 147 | 146 | $13K |
49 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 107 | $8K |
| 99460 | <1% | 141 | $7K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 118 | $7K |
| 92551 | <1% | 925 | $7K | |
| 99223 | Prolong inpt eval add15 m | <1% | 58 | $6K |
| D0190 | <1% | 273 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 22 | $4K |
| 99188 | <1% | 368 | $3K | |
| 0071A | <1% | 56 | $2K | |
| 90677 | <1% | 14 | $2K | |
| 99177 | <1% | 453 | $1K | |
| 99383 | <1% | 13 | $1K | |
| 90480 | <1% | 29 | $1K | |
| 0072A | <1% | 26 | $1K | |
| 0001A | <1% | 13 | $418.78 | |
| 90685 | <1% | 489 | $370.78 | |
| 99462 | <1% | 15 | $360.16 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | $268.03 |
| 99174 | <1% | 59 | $179.16 | |
| 96127 | <1% | 54 | $155.51 | |
| 97802 | <1% | 220 | $105.00 | |
| 90686 | <1% | 1,297 | $40.34 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 190 | $40.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 137 | $0.07 |
| 90461 | 0% | 1,271 | $0.00 | |
| 90670 | 0% | 2,647 | $0.00 | |
| 90633 | 0% | 1,299 | $0.00 | |
| 90707 | 0% | 319 | $0.00 | |
| 90710 | 0% | 410 | $0.00 | |
| 90655 | 0% | 40 | $0.00 | |
| 99173 | 0% | 216 | $0.00 | |
| 90700 | 0% | 158 | $0.00 | |
| 3078F | 0% | 102 | $0.00 | |
| 91300 | 0% | 12 | $0.00 | |
| 90658 | 0% | 29 | $0.00 | |
| 91321 | 0% | 12 | $0.00 | |
| 90680 | 0% | 1,457 | $0.00 | |
| 90744 | 0% | 1,093 | $0.00 | |
| 90698 | 0% | 1,802 | $0.00 | |
| 3080F | 0% | 22 | $0.00 | |
| 90716 | 0% | 340 | $0.00 | |
| 90696 | 0% | 374 | $0.00 | |
| 90651 | 0% | 155 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 48 | $0.00 |
| 90647 | 0% | 91 | $0.00 | |
| 90697 | 0% | 234 | $0.00 | |
| 91307 | 0% | 69 | $0.00 | |
| 3074F | 0% | 128 | $0.00 | |
| 90619 | 0% | 26 | $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 officialMADANI, MAYURA (PRESIDENT)
Parent organizationMAYURA MADANI M.D.P.L.L.C.