Physician
Madhure, Jay
Madhure, Jay was paid $24K by Medicaid between Jan 2018 and Jan 2023, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoMADHURE, JAY
GRANADA HILLS, CA 91344
GRANADA HILLS, CA 91344
33aNPI1770518714assigned 07/11/2006
33bProvider typeAdolescent Medicine (Family Medicine) Physician
28Total paid$24K
24GClaims4,517
24DCodes billed10
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Adolescent Medicine (Family Medicine) Physician providers in California
Rank by total paid#6 of 15
Median peer was paid$2K
This provider vs. median11×
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 | 1,029 | $3K | |
| 2019 | 1,534 | $12K | |
| 2020 | 726 | $5K | |
| 2021 | 625 | $3K | |
| 2022 | 584 | $812.19 | |
| 2023 | 19 | $10.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 1,799 | 1,755 | $11K |
| 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 | 40% | 1,187 | 1,165 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.4% | 75 | 75 | $2K |
| 3074F | 2.0% | 533 | 531 | $484.00 | |
| 3078F | 1.9% | 503 | 501 | $464.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 307 | 307 | $114.64 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 13 | 13 | $107.41 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 52 | 51 | $18.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 35 | 34 | $0.00 |
| 3080F | 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.