Ashok K Agarwal M D INC
Ashok K Agarwal M D INC was paid $970K by Medicaid between Jan 2018 and Sep 2024, across 17 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 33% of everything it billed.
33Billing provider infoASHOK K AGARWAL M D INC
HEMET, CA 92543
HEMET, CA 92543
33aNPI1861633851assigned 03/20/2009
33bProvider typeSpecialist
28Total paid$970K
24GClaims25,657
24DCodes billed17
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#190 of 1,230
Median peer was paid$51K
This provider vs. median19×
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 | 1,557 | $86K | |
| 2019 | 1,808 | $71K | |
| 2020 | 3,547 | $132K | |
| 2021 | 4,670 | $150K | |
| 2022 | 3,947 | $163K | |
| 2023 | 5,583 | $199K | |
| 2024incomplete | 4,545 | $169K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 33% | 10,440 | 2,163 | $317K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 31% | 3,657 | 3,616 | $303K |
| 99223 | Prolong inpt eval add15 m | 12% | 2,085 | 1,981 | $119K |
| 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 | 9.8% | 3,303 | 2,955 | $95K |
| 93278 | 3.6% | 3,608 | 829 | $35K | |
| 93224 | 3.6% | 436 | 433 | $35K | |
| 93000 | 2.3% | 1,307 | 1,296 | $23K | |
| 93015 | 1.4% | 186 | 184 | $14K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 32 | 32 | $7K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 32 | 32 | $6K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 136 | 31 | $5K |
| 99205 | Prolong outpt/office vis | <1% | 76 | 76 | $4K |
5 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 43 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 245 | $2K |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 30 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 28 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $433.25 |
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 officialGONZALES, KIMBERLY (BILLING/CONTRACTING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Las Animas-Huerfano Counties District Health Department | Trinidad, CO | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.