Desai, Pramthesh

Desai, Pramthesh was paid $6K by Medicaid between Jan 2018 and Aug 2024, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 52% of everything it billed.

33Billing provider infoDESAI, PRAMTHESH
WILKES BARRE, PA 18702

33aNPI1669426953assigned 05/20/2006

33bProvider typePulmonary Disease Physician

28Total paid$6K

24GClaims1,847

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Pennsylvania

Rank by total paid#73 of 137

Median peer was paid$7K

This provider vs. median0.8×

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	682	$15.70
2019	559	$65.40
2020	83	$34.00
2021	244	$2K
2022	164	$2K
2023	36	$907.80
2024incomplete	79	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	52%	671	253	$3K
99231	Subsequent hospital care, per day, straightforward or low complexity	48%	972	269	$3K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	178	170	$0.00
99222	Initial hospital care, per day, moderate complexity	0%	26	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.