Physician
Prana Health PLLC
Prana Health PLLC was paid $1.79M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoPRANA HEALTH PLLC
FAYETTEVILLE, NC 28303
FAYETTEVILLE, NC 28303
33aNPI1821467044assigned 09/17/2015
33bProvider typeInternal Medicine Physician
28Total paid$1.79M
24GClaims62,823
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#41 of 616
Median peer was paid$74K
This provider vs. median24×
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 | 2,133 | $80K | |
| 2019 | 4,282 | $192K | |
| 2020 | 3,655 | $135K | |
| 2021 | 6,348 | $242K | |
| 2022 | 10,448 | $343K | |
| 2023 | 16,565 | $362K | |
| 2024incomplete | 19,392 | $433K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 10,859 | 7,908 | $628K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 18% | 758 | 607 | $323K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.3% | 2,931 | 2,156 | $130K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 6.8% | 861 | 171 | $122K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.5% | 710 | 579 | $99K |
| 94375 | 4.6% | 4,814 | 3,610 | $82K | |
| 99457 | 2.6% | 1,672 | 1,308 | $46K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.5% | 605 | 356 | $45K |
| 94060 | 2.4% | 1,497 | 1,152 | $42K | |
| 95117 | 1.9% | 4,182 | 1,538 | $34K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.7% | 179 | 123 | $30K |
| 94729 | 1.5% | 1,487 | 1,145 | $27K |
69 more codes
| 95811 | 1.3% | 76 | $23K | |
| 94727 | 1.2% | 1,476 | $21K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 226 | $19K |
| 96160 | <1% | 6,951 | $18K | |
| 31231 | <1% | 178 | $17K | |
| 99454 | <1% | 623 | $16K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,031 | $13K |
| 94664 | <1% | 1,115 | $8K | |
| 95706 | <1% | 77 | $7K | |
| 99490 | Ccm add 20min | <1% | 885 | $5K |
| 95717 | <1% | 80 | $4K | |
| 99406 | <1% | 497 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 99 | $3K |
| 94621 | <1% | 56 | $3K | |
| 99453 | <1% | 249 | $3K | |
| E0570 | Nebulizer, with compressor | <1% | 18 | $2K |
| 99458 | <1% | 61 | $2K | |
| 98980 | <1% | 89 | $2K | |
| 96127 | <1% | 652 | $2K | |
| 94070 | <1% | 70 | $1K | |
| 99439 | <1% | 232 | $1K | |
| 94770 | <1% | 45 | $1K | |
| 95024 | <1% | 22 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 54 | $1K |
| 94618 | <1% | 46 | $626.33 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 667 | $481.18 |
| 36600 | <1% | 16 | $272.88 | |
| 82803 | <1% | 13 | $262.57 | |
| 98976 | <1% | 18 | $249.73 | |
| 82330 | <1% | 13 | $185.35 | |
| 83605 | <1% | 13 | $144.87 | |
| 99091 | <1% | 141 | $123.96 | |
| 82435 | <1% | 13 | $100.76 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 34 | $96.20 |
| 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% | 43 | $76.33 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 50 | $74.85 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 47 | $45.04 |
| 85014 | <1% | 13 | $32.12 | |
| 99451 | <1% | 21 | $5.70 | |
| 82565 | <1% | 15 | $2.98 | |
| 90785 | <1% | 84 | $1.94 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 2,065 | $1.54 |
| 3074F | <1% | 1,258 | $0.10 | |
| 3078F | <1% | 1,196 | $0.09 | |
| 1160F | <1% | 1,079 | $0.09 | |
| 1159F | <1% | 1,080 | $0.09 | |
| G9434 | Asthma not well-controlled based on the act, c-act, acq, or ataq score, or specified asthma control tool not used, reason not given | <1% | 146 | $0.05 |
| 3077F | <1% | 579 | $0.05 | |
| 3079F | <1% | 579 | $0.04 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 2,363 | $0.03 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 2,112 | $0.03 |
| 3080F | <1% | 191 | $0.02 | |
| 3008F | 0% | 943 | $0.00 | |
| 1036F | 0% | 696 | $0.00 | |
| G9432 | Asthma well-controlled based on the act, c-act, acq, or ataq score and results documented | 0% | 307 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 208 | $0.00 |
| 3075F | 0% | 135 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 216 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 243 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 88 | $0.00 |
| 1034F | 0% | 99 | $0.00 | |
| 84132 | 0% | 15 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 120 | $0.00 |
| G8851 | Adherence to therapy was assessed at least annually through an objective informatics system or through self-reporting (if objective reporting is not available, documented) | 0% | 70 | $0.00 |
| 4004F | 0% | 91 | $0.00 | |
| G8842 | Apnea hypopnea index (ahi), respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months after initial evaluation for suspected obstructive sleep apnea | 0% | 231 | $0.00 |
| G8854 | Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy) | 0% | 19 | $0.00 |
| 84295 | 0% | 15 | $0.00 | |
| 82947 | 0% | 15 | $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 officialKAKKAR, NEERU (MANAGER)