Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › GA › Lawrenceville › NPI 1730223934
Physician

Joshi, Divya

Joshi, Divya was paid $367K by Medicaid between Apr 2019 and Jul 2021, across 25 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 21% of everything it billed.

33Billing provider infoJOSHI, DIVYA
LAWRENCEVILLE, GA 30046
33aNPI1730223934assigned 02/19/2007
33bProvider typePediatrics Physician
28Total paid$367K
24GClaims8,644
24DCodes billed25
24AFirst – last monthApr 2019 – Jul 2021
Compared with peers

Next to other Pediatrics Physician providers in Georgia

Rank by total paid#73 of 220
Median peer was paid$57K
This provider vs. median6.4×

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$20K$40K2018201920202021202220232024
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
2019997$40K
20205,005$215K
20212,642$111K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 21% 828 809 $78K
90460 Immunization administration through 18 years of age via any route, first or only component 19% 1,773 1,754 $71K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 19% 691 681 $68K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 405 402 $41K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8.4% 754 747 $31K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.3% 443 420 $30K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.8% 127 126 $14K
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 3.7% 134 130 $14K
99460 2.1% 91 86 $8K
99238 Hospital discharge day management, 30 minutes or less 1.1% 61 57 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 304 291 $3K
99188 <1% 142 141 $3K
13 more codes
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 59 $1K
85018 <1% 194 $601.41
36416 <1% 229 $71.22
36415 Collection of venous blood by venipuncture <1% 186 $47.40
90670 0% 601 $0.00
90681 0% 206 $0.00
90633 0% 171 $0.00
90734 0% 13 $0.00
90710 0% 22 $0.00
90698 0% 602 $0.00
90744 0% 182 $0.00
90686 0% 392 $0.00
90696 0% 34 $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.