Pilania, Pramod

Pilania, Pramod was paid $49K by Medicaid between Aug 2020 and Nov 2024, across 4 billing codes. Its largest line is 99205, Prolong outpt/office vis — 66% of everything it billed.

33Billing provider infoPILANIA, PRAMOD
PHILADELPHIA, PA 19133

33aNPI1699817353assigned 02/12/2007

33bProvider typePsychiatry Physician

28Total paid$49K

24GClaims423

24DCodes billed4

24AFirst – last monthAug 2020 – Nov 2024

Compared with peers

Next to other Psychiatry Physician providers in Pennsylvania

Rank by total paid#99 of 244

Median peer was paid$30K

This provider vs. median1.7×

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
2020	40	$6K
2024incomplete	383	$44K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99205	Prolong outpt/office vis	66%	154	150	$33K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	24%	137	122	$12K
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	9.0%	119	113	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	13	13	$459.92

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.