Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRATHIPATI, SUSHMITA

NPI: 1740581776 · ROCHELLE, IL 61068 · Obesity Medicine (Family Medicine) Physician · NPI assigned 11/08/2010

$178K
Total Medicaid Paid
4,052
Total Claims
3,644
Beneficiaries
10
Codes Billed
2018-01
First Month
2023-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,382 $50K
2019 322 $15K
2020 324 $13K
2021 911 $44K
2022 978 $51K
2023 135 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,585 2,345 $100K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,155 1,039 $70K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 59 56 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 30 29 $3K
90715 57 36 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 26 24 $918.58
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 28 27 $381.73
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 15 12 $184.66
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 72 51 $3.96
36415 Collection of venous blood by venipuncture 25 25 $0.00