Pandey, Prativa

Pandey, Prativa was paid $15K by Medicaid between Nov 2022 and Jan 2024, across 3 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 45% of everything it billed.

33Billing provider infoPANDEY, PRATIVA
MURPHYSBORO, IL 62966

33aNPI1871029280assigned 05/04/2017

33bProvider typeHospitalist Physician

28Total paid$15K

24GClaims530

24DCodes billed3

24AFirst – last monthNov 2022 – Jan 2024

Compared with peers

Next to other Hospitalist Physician providers in Illinois

Rank by total paid#290 of 514

Median peer was paid$19K

This provider vs. median0.8×

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
2022	80	$2K
2023	373	$11K
2024incomplete	77	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	45%	258	102	$7K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	29%	164	62	$4K
99239	Hospital discharge day management, more than 30 minutes	27%	108	105	$4K

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.