Clinic
Pratima Boinepalli MD, P.L.L.C
Pratima Boinepalli MD, P.L.L.C was paid $79K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoPRATIMA BOINEPALLI MD, P.L.L.C
OKEMOS, MI 48864
OKEMOS, MI 48864
33aNPI1821463175assigned 12/10/2015
33bProvider typePrimary Care Clinic/Center
28Total paid$79K
24GClaims3,154
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Michigan
Rank by total paid#72 of 113
Median peer was paid$164K
This provider vs. median0.5×
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 | 437 | $11K | |
| 2019 | 264 | $7K | |
| 2020 | 375 | $10K | |
| 2021 | 552 | $16K | |
| 2022 | 1,008 | $22K | |
| 2023 | 407 | $12K | |
| 2024incomplete | 111 | $722.53 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 302 | 278 | $19K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 23% | 901 | 889 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 145 | 144 | $13K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 13% | 905 | 897 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 150 | 149 | $10K |
| 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 | 7.6% | 79 | 73 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.2% | 115 | 115 | $3K |
| 97802 | <1% | 459 | 452 | $310.00 | |
| 92551 | <1% | 14 | 14 | $53.92 | |
| 90461 | 0% | 26 | 26 | $0.00 | |
| 99173 | 0% | 14 | 14 | $0.00 | |
| 90686 | 0% | 44 | 44 | $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.
From NPPES
Who's on the registration
Authorized officialBOINEPALLI, PRATIMA (PHYSICIAN)