Clinic
Neel Raya MD INC
Neel Raya MD INC was paid $64K by Medicaid between Feb 2018 and Oct 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.
33Billing provider infoNEEL RAYA MD INC
LANCASTER, OH 43130
LANCASTER, OH 43130
33aNPI1720268626assigned 11/07/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$64K
24GClaims2,640
24DCodes billed7
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Ohio
Rank by total paid#61 of 118
Median peer was paid$67K
This provider vs. median1.0×
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 | 368 | $7K | |
| 2019 | 580 | $12K | |
| 2020 | 520 | $12K | |
| 2021 | 515 | $12K | |
| 2022 | 318 | $10K | |
| 2023 | 257 | $8K | |
| 2024incomplete | 82 | $3K |
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 | 97% | 2,140 | 1,929 | $62K |
| 99490 | Ccm add 20min | 1.7% | 425 | 422 | $1K |
| 99491 | Ccm add 20min | <1% | 20 | 20 | $327.53 |
| 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% | 14 | 13 | $322.73 |
| 99497 | <1% | 13 | 13 | $161.90 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 15 | 15 | $109.50 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 13 | 13 | $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.
From NPPES
Who's on the registration
Authorized officialRAYA, NEELKANT (PRESIDENT)