Bhamidipati, Prasanta

Bhamidipati, Prasanta was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.

33Billing provider infoBHAMIDIPATI, PRASANTA
SPRINGFIELD, IL 62701

33aNPI1851601462assigned 10/15/2010

33bProvider typePediatrics Physician

28Total paid$1.30M

24GClaims32,220

24DCodes billed39

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#100 of 1,805

Median peer was paid$55K

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	2,655	$124K
2019	4,278	$235K
2020	4,279	$203K
2021	6,328	$203K
2022	5,684	$188K
2023	4,637	$175K
2024incomplete	4,359	$172K

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	22%	3,325	2,467	$290K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	18%	2,951	2,178	$230K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	17%	3,226	2,493	$224K
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	11%	1,157	863	$139K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.1%	1,215	987	$92K
96127		4.3%	3,931	3,028	$57K
90670		3.5%	2,227	1,697	$45K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.8%	430	347	$37K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.6%	1,838	1,389	$34K
90677		1.6%	376	302	$20K
90686		1.5%	1,516	1,120	$19K
90723		1.3%	1,787	1,337	$17K

27 more codes

90647		1.3%	1,757	$17K
90680		1.0%	1,312	$13K
90633		<1%	1,117	$13K
83655		<1%	566	$7K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	430	$6K
90651		<1%	324	$6K
D1206	Topical application of fluoride varnish	<1%	165	$4K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	148	$4K
90697		<1%	211	$4K
90656		<1%	139	$2K
92551		<1%	140	$2K
36416		<1%	505	$2K
90716		<1%	123	$2K
85018		<1%	720	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	31	$1K
99383		<1%	14	$1K
90707		<1%	75	$1K
90710		<1%	78	$1K
90734		<1%	95	$1K
90681		<1%	61	$1K
90696		<1%	59	$770.89
90715		<1%	50	$643.15
90700		<1%	27	$451.71
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	30	$438.00
91318		<1%	23	$384.33
96160		<1%	20	$292.00
88720		<1%	21	$90.82

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.