Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SARODE, PRAFUL

NPI: 1669560231 · SANTA ANA, CA 92705 · Family Medicine Physician · NPI assigned 10/10/2006

$876K
Total Medicaid Paid
13,466
Total Claims
11,845
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,925 $98K
2019 1,911 $125K
2020 2,129 $141K
2021 1,724 $130K
2022 2,220 $164K
2023 1,758 $119K
2024 1,799 $98K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,043 3,741 $481K
96156 1,216 1,196 $128K
92651 425 420 $42K
96110 Developmental screening, with scoring and documentation, per standardized instrument 617 614 $34K
97803 753 743 $29K
G9920 Screening performed and negative 1,025 1,016 $28K
99460 438 432 $28K
92551 1,351 1,337 $21K
99239 Hospital discharge day management, more than 30 minutes 222 220 $15K
99354 232 175 $7K
99334 297 214 $6K
99497 103 95 $6K
92586 67 67 $5K
99336 132 116 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 96 85 $5K
99490 Ccm add 20min 165 148 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 30 26 $4K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 27 24 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 43 42 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 17 16 $3K
96151 125 124 $3K
99462 85 62 $3K
85018 321 321 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $2K
99381 13 13 $2K
97802 63 63 $2K
81002 118 118 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 33 33 $1K
81000 190 190 $1K
96127 16 14 $818.60
90688 83 83 $747.00
99498 12 12 $379.66
99487 Ccm add 20min 31 27 $348.72
86580 16 16 $33.57
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 21 18 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 28 12 $0.00