Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

John S. Rajapakse, MD PA

John S. Rajapakse, MD PA was paid $848K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoJOHN S. RAJAPAKSE, MD PA
PERTH AMBOY, NJ 08861
33aNPI1851676936assigned 10/20/2011
28Total paid$848K
24GClaims48,893
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in New Jersey

Rank by total paid#76 of 1,027
Median peer was paid$30K
This provider vs. median28×

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$10K$20K2018201920202021202220232024
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
20184,712$116K
20196,301$126K
20206,358$125K
20216,244$119K
20226,249$125K
202310,374$133K
2024incomplete8,655$103K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 62% 13,969 13,223 $527K
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 26% 4,941 4,836 $221K
99205 Prolong outpt/office vis 8.9% 827 809 $76K
96160 <1% 2,978 2,942 $7K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 219 214 $7K
99406 <1% 1,233 1,192 $6K
99490 Ccm add 20min <1% 491 485 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 12 12 $562.97
1125F <1% 7,813 7,424 $214.10
1159F <1% 5,668 5,452 $28.00
1160F <1% 5,698 5,479 $27.00
1170F <1% 3,595 3,495 $10.01
4 more codes
3079F <1% 12 $4.00
3074F <1% 12 $0.05
1126F 0% 292 $0.00
G9577 Patients prescribed opiates for longer than six weeks 0% 1,133 $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 officialRAJAPAKSE, JOHN (CEO)