Raghavapuram, Saikiran

Raghavapuram, Saikiran was paid $240K by Medicaid between Jan 2018 and Apr 2020, across 6 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 60% of everything it billed.

33Billing provider infoRAGHAVAPURAM, SAIKIRAN
FRISCO, TX 75033

33aNPI1790065464assigned 08/25/2011

33bProvider typeInternal Medicine Physician

28Total paid$240K

24GClaims1,561

24DCodes billed6

24AFirst – last monthJan 2018 – Apr 2020

Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#117 of 1,028

Median peer was paid$10K

This provider vs. median23×

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	616	$100K
2019	869	$130K
2020	76	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	60%	767	685	$144K
45380	Colonoscopy, flexible; with biopsy, single or multiple	34%	556	498	$82K
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	3.1%	177	162	$7K
43248		2.1%	17	12	$5K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	30	24	$2K
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	<1%	14	14	$184.66

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.