Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Santa Ana › NPI 1821201351
Physician

Rathod, Rajiv

Rathod, Rajiv was paid $671K by Medicaid between Oct 2020 and Jul 2023, across 9 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 72% of everything it billed.

33Billing provider infoRATHOD, RAJIV
SANTA ANA, CA 92705
33aNPI1821201351assigned 05/08/2007
33bProvider typeOphthalmology Physician
28Total paid$671K
24GClaims2,475
24DCodes billed9
24AFirst – last monthOct 2020 – Jul 2023
Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#106 of 759
Median peer was paid$35K
This provider vs. median19×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
2020290$22K
2021547$73K
2022933$261K
2023705$315K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0178 Injection, aflibercept, 1 mg 72% 376 244 $485K
67028 Intravitreal injection of a pharmacologic agent 23% 442 301 $156K
92134 2.1% 625 566 $14K
92201 1.2% 729 627 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 141 140 $5K
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 <1% 96 84 $3K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 19 15 $0.00
1036F 0% 24 14 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 23 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.