Physician
Sarode, Praful
Sarode, Praful was paid $876K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoSARODE, PRAFUL
SANTA ANA, CA 92705
SANTA ANA, CA 92705
33aNPI1669560231assigned 10/10/2006
33bProvider typeFamily Medicine Physician
28Total paid$876K
24GClaims13,466
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#187 of 2,511
Median peer was paid$13K
This provider vs. median68×
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 | 1,925 | $98K | |
| 2019 | 1,911 | $125K | |
| 2020 | 2,129 | $141K | |
| 2021 | 1,724 | $130K | |
| 2022 | 2,220 | $164K | |
| 2023 | 1,758 | $119K | |
| 2024incomplete | 1,799 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 55% | 5,043 | 3,741 | $481K |
| 96156 | 15% | 1,216 | 1,196 | $128K | |
| 92651 | 4.7% | 425 | 420 | $42K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.9% | 617 | 614 | $34K |
| 97803 | 3.3% | 753 | 743 | $29K | |
| G9920 | Screening performed and negative | 3.2% | 1,025 | 1,016 | $28K |
| 99460 | 3.2% | 438 | 432 | $28K | |
| 92551 | 2.4% | 1,351 | 1,337 | $21K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.7% | 222 | 220 | $15K |
| 99354 | <1% | 232 | 175 | $7K | |
| 99334 | <1% | 297 | 214 | $6K | |
| 99497 | <1% | 103 | 95 | $6K |
24 more codes
| 92586 | <1% | 67 | $5K | |
| 99336 | <1% | 132 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 96 | $5K |
| 99490 | Ccm add 20min | <1% | 165 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 30 | $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 | <1% | 27 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 43 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 17 | $3K |
| 96151 | <1% | 125 | $3K | |
| 99462 | <1% | 85 | $3K | |
| 85018 | <1% | 321 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 12 | $2K |
| 99381 | <1% | 13 | $2K | |
| 97802 | <1% | 63 | $2K | |
| 81002 | <1% | 118 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 33 | $1K |
| 81000 | <1% | 190 | $1K | |
| 96127 | <1% | 16 | $818.60 | |
| 90688 | <1% | 83 | $747.00 | |
| 99498 | <1% | 12 | $379.66 | |
| 99487 | Ccm add 20min | <1% | 31 | $348.72 |
| 86580 | <1% | 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) | 0% | 21 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 28 | $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.