Reddy, Pradeep

Reddy, Pradeep was paid $169K by Medicaid between Jan 2018 and Oct 2024, across 16 billing codes. Its largest line is 99460, — 32% of everything it billed.

33Billing provider infoREDDY, PRADEEP
MARION, IL 62959

33aNPI1649384892assigned 08/17/2006

33bProvider typeNeonatal-Perinatal Medicine Physician

28Total paid$169K

24GClaims3,568

24DCodes billed16

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Neonatal-Perinatal Medicine Physician providers in Illinois

Rank by total paid#27 of 148

Median peer was paid$48K

This provider vs. median3.5×

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	1,129	$45K
2019	366	$17K
2020	957	$46K
2021	630	$34K
2022	119	$5K
2023	14	$618.22
2024incomplete	353	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99460		32%	1,040	976	$53K
99238	Hospital discharge day management, 30 minutes or less	26%	1,286	1,207	$45K
54150		26%	597	560	$43K
99463		7.2%	216	212	$12K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.6%	94	87	$4K
99223	Prolong inpt eval add15 m	2.5%	64	62	$4K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.4%	69	29	$2K
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	<1%	19	19	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	16	16	$1K
0072A		<1%	16	13	$672.10
0071A		<1%	13	12	$463.54
99402		<1%	14	13	$360.00

4 more codes

96160		<1%	13	$233.60
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	17	$112.51
90686		<1%	57	$12.80
91307		<1%	37	$0.04

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.