Agarwal, Pratibha

Agarwal, Pratibha was paid $43K by Medicaid between Jan 2018 and Apr 2020, across 5 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 55% of everything it billed.

33Billing provider infoAGARWAL, PRATIBHA
SPRINGFIELD, MO 65804

33aNPI1669761706assigned 03/29/2011

33bProvider typePsychiatry Physician

28Total paid$43K

24GClaims1,360

24DCodes billed5

24AFirst – last monthJan 2018 – Apr 2020

Compared with peers

Next to other Psychiatry Physician providers in Missouri

Rank by total paid#75 of 199

Median peer was paid$20K

This provider vs. median2.1×

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	506	$15K
2019	827	$28K
2020	27	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99231	Subsequent hospital care, per day, straightforward or low complexity	55%	697	265	$24K
90792	Psychiatric diagnostic evaluation with medical services	30%	177	172	$13K
99238	Hospital discharge day management, 30 minutes or less	15%	131	123	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	0%	13	13	$0.00
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	342	336	$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.