Physician
Gautami Agastya, MD., INC.
Gautami Agastya, MD., INC. was paid $519K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99491, Ccm add 20min — 33% of everything it billed.
33Billing provider infoGAUTAMI AGASTYA, MD., INC.
TRACY, CA 95376
TRACY, CA 95376
33aNPI1659540870assigned 02/21/2008
33bProvider typeInternal Medicine Physician
28Total paid$519K
24GClaims15,072
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#233 of 2,679
Median peer was paid$13K
This provider vs. median41×
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 | 1,618 | $58K | |
| 2019 | 2,042 | $64K | |
| 2020 | 2,463 | $53K | |
| 2021 | 1,534 | $41K | |
| 2022 | 1,523 | $54K | |
| 2023 | 3,174 | $130K | |
| 2024incomplete | 2,718 | $119K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99491 | Ccm add 20min | 33% | 2,919 | 2,911 | $171K |
| 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% | 4,510 | 4,134 | $150K |
| 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% | 3,740 | 3,275 | $66K |
| 99497 | 11% | 887 | 876 | $60K | |
| 99457 | 3.1% | 494 | 489 | $16K | |
| 97802 | 2.1% | 319 | 309 | $11K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 239 | 223 | $7K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 73 | 72 | $5K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 299 | 293 | $5K |
| 93922 | <1% | 85 | 85 | $4K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 111 | 110 | $4K |
| 0011A | <1% | 93 | 93 | $4K |
16 more codes
| 0012A | <1% | 84 | $3K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 133 | $3K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 101 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 98 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 57 | $1K |
| 90686 | <1% | 73 | $938.24 | |
| 90756 | <1% | 44 | $928.13 | |
| 93000 | <1% | 34 | $865.36 | |
| 99454 | <1% | 13 | $682.94 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 68 | $594.92 |
| G9920 | Screening performed and negative | <1% | 14 | $487.20 |
| 90656 | <1% | 37 | $462.00 | |
| 90658 | <1% | 14 | $279.02 | |
| 99401 | <1% | 49 | $68.64 | |
| 3074F | 0% | 215 | $0.00 | |
| 3078F | 0% | 269 | $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 officialAGASTYA, GAUTAMI (PRESIDENT)