Medicaid Provider Spending

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

BHALLA, SURESH

NPI: 1811995426 · JOLIET, IL 60435 · Specialist · NPI assigned 07/08/2005

$82K
Total Medicaid Paid
2,083
Total Claims
1,798
Beneficiaries
16
Codes Billed
2018-01
First Month
2023-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 111 $307.95
2019 938 $31K
2020 680 $37K
2021 335 $12K
2023 19 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 193 183 $37K
99205 Prolong outpt/office vis 421 346 $31K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 277 235 $8K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19 19 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 41 40 $843.62
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18 18 $794.54
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 361 308 $6.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 169 146 $3.33
4040F 352 302 $2.16
G8482 Influenza immunization administered or previously received 12 12 $0.04
1036F 149 126 $0.04
0529F 14 14 $0.04
G8484 Influenza immunization was not administered, reason not given 14 13 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 13 12 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 18 12 $0.00