Kulkarni, Prajakta

Kulkarni, Prajakta was paid $45K by Medicaid between Jan 2018 and Mar 2020, across 10 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 41% of everything it billed.

33Billing provider infoKULKARNI, PRAJAKTA
STAMFORD, CT 06902

33aNPI1831470343assigned 08/30/2011

33bProvider typePediatrics Physician

28Total paid$45K

24GClaims1,782

24DCodes billed10

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Pediatrics Physician providers in Connecticut

Rank by total paid#116 of 162

Median peer was paid$313K

This provider vs. median0.1×

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	832	$17K
2019	829	$22K
2020	121	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	41%	546	485	$19K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	143	127	$8K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	13%	392	369	$6K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	12%	66	66	$5K
90472	Immunization administration, each additional vaccine (list separately)	6.0%	119	107	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.8%	26	26	$2K
92551		2.2%	135	123	$978.10
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.1%	12	12	$938.51
99173		1.0%	200	186	$452.48
90686		<1%	143	132	$63.50

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.