Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Modesto › NPI 1720432438
Physician

Anuradha Dubey, M.D., INC

Anuradha Dubey, M.D., INC was paid $2.12M by Medicaid between Jan 2018 and Nov 2024, across 61 billing codes. Its largest line is 97802, — 22% of everything it billed.

33Billing provider infoANURADHA DUBEY, M.D., INC
MODESTO, CA 95356
33aNPI1720432438assigned 04/19/2016
33bProvider typePediatrics Physician
28Total paid$2.12M
24GClaims194,026
24DCodes billed61
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#69 of 1,490
Median peer was paid$15K
This provider vs. median141×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
201815,555$168K
201919,204$150K
202020,497$204K
202128,389$315K
202236,037$429K
202339,667$453K
2024incomplete34,677$397K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97802 22% 17,804 17,625 $472K
G9920 Screening performed and negative 19% 13,149 13,127 $394K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13% 16,791 16,513 $270K
96110 Developmental screening, with scoring and documentation, per standardized instrument 12% 4,440 4,424 $247K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.5% 25,703 23,602 $95K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.9% 3,845 3,809 $62K
96127 2.9% 13,950 13,907 $61K
D1206 Topical application of fluoride varnish 2.5% 2,526 2,510 $54K
99381 2.5% 1,059 1,044 $52K
99173 1.9% 12,942 12,935 $40K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1.6% 3,398 3,398 $33K
90697 1.4% 1,503 1,501 $30K
49 more codes
99214 Doctor's office visit, returning patient (more involved) 1.4% 3,178 $30K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.4% 7,627 $30K
99406 1.4% 3,031 $29K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.2% 6,112 $25K
99383 1.1% 1,788 $24K
99382 1.1% 1,279 $23K
99188 1.0% 1,158 $22K
83655 <1% 1,566 $16K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 3,471 $12K
92551 <1% 13,635 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,165 $7K
G9919 Screening performed and positive and provision of recommendations <1% 218 $7K
90651 <1% 1,731 $6K
90670 <1% 3,839 $6K
99384 <1% 533 $6K
0072A <1% 141 $6K
0071A <1% 141 $6K
90710 <1% 1,355 $6K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 209 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 326 $5K
90680 <1% 2,478 $4K
90686 <1% 5,769 $3K
90677 <1% 235 $2K
90716 <1% 1,382 $2K
90633 <1% 2,856 $2K
90723 <1% 1,556 $2K
90696 <1% 1,368 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 587 $1K
90707 <1% 1,252 $1K
99203 Doctor's office visit, new patient (routine) <1% 98 $1K
94060 <1% 33 $1K
90648 <1% 1,182 $1K
90619 <1% 496 $1K
90647 <1% 1,345 $932.41
0001A <1% 23 $920.00
90734 <1% 879 $914.91
90715 <1% 959 $799.43
0002A <1% 19 $760.00
0082A <1% 15 $600.00
90700 <1% 1,189 $477.19
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 33 $325.24
90685 <1% 119 $165.32
94664 <1% 20 $157.71
81003 <1% 70 $127.72
87430 <1% 15 $109.01
90656 <1% 273 $83.81
90674 <1% 115 $27.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 18 $0.75
94760 0% 29 $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 officialDUBEY, ANURADHA (CEO)