Physician
Pendyala, Prashant
Pendyala, Prashant was paid $13K by Medicaid between Sep 2019 and Oct 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 39% of everything it billed.
33Billing provider infoPENDYALA, PRASHANT
LOCKPORT, NY 14094
LOCKPORT, NY 14094
33aNPI1801842844assigned 05/25/2006
33bProvider typeInternal Medicine Physician
28Total paid$13K
24GClaims2,258
24DCodes billed5
24AFirst – last monthSep 2019 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#2,890 of 6,049
Median peer was paid$11K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2019 | 289 | $1K | |
| 2020 | 986 | $5K | |
| 2021 | 238 | $2K | |
| 2022 | 334 | $872.77 | |
| 2023 | 387 | $4K | |
| 2024incomplete | 24 | $120.85 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 39% | 1,184 | 347 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 32% | 640 | 339 | $4K |
| 99223 | Prolong inpt eval add15 m | 14% | 191 | 185 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | 7.8% | 121 | 112 | $1K |
| 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 | 6.3% | 122 | 120 | $821.67 |
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.