Medicaid Provider Spending

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

KUMARA PRATHIPATI, M.D.,INC

NPI: 1780709345 · SAN DIEGO, CA 92115 · Internal Medicine Physician · NPI assigned 03/20/2007

$111K
Total Medicaid Paid
28,672
Total Claims
27,620
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPRATHIPATI, KUMARA (PRESIDENT)
NPI Enumeration Date03/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,010 $13K
2019 9,870 $17K
2020 4,277 $18K
2021 2,736 $14K
2022 2,470 $11K
2023 2,899 $16K
2024 1,410 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 3,630 3,366 $86K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,526 3,354 $13K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,922 3,654 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 83 83 $613.89
90658 34 32 $525.58
90756 26 26 $369.04
1123F 426 426 $53.00
99349 12 12 $51.18
1036F 568 559 $47.52
G8510 Screening for depression is documented as negative, a follow-up plan is not required 680 679 $0.28
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 307 306 $0.17
3008F 557 552 $0.00
1000F 790 780 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,405 1,342 $0.00
3079F 252 244 $0.00
3080F 42 38 $0.00
G9275 Documentation that patient is a current non-tobacco user 582 573 $0.00
1170F 492 491 $0.00
1126F 290 288 $0.00
3074F 1,249 1,190 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 399 393 $0.00
1101F 307 305 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 34 33 $0.00
3014F 32 32 $0.00
3017F 47 47 $0.00
3044F 260 246 $0.00
G8473 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed 12 12 $0.00
3075F 91 88 $0.00
1034F 54 53 $0.00
4010F 13 13 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 28 26 $0.00
4000F 52 51 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 14 13 $0.00
3077F 163 157 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,368 1,306 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 154 152 $0.00
3016F 610 608 $0.00
3015F 45 45 $0.00
1158F 235 235 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 384 381 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 524 522 $0.00
G8482 Influenza immunization administered or previously received 24 24 $0.00
3725F 454 453 $0.00
3078F 1,257 1,206 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 674 673 $0.00
3720F 445 443 $0.00
1159F 618 617 $0.00
G9916 Functional status performed once in the last 12 months 401 400 $0.00
1160F 605 604 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 45 43 $0.00
3288F 308 306 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 33 33 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 43 40 $0.00
4274F 13 13 $0.00
G9276 Documentation that patient is a current tobacco user 53 52 $0.00