Somayaji, Prabhakara
Somayaji, Prabhakara was paid $21K by Medicaid between Jan 2018 and Aug 2022, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoSOMAYAJI, PRABHAKARA
NIAGARA FALLS, NY 14301
NIAGARA FALLS, NY 14301
33aNPI1871682260assigned 10/12/2006
33bProvider typeSpecialist
28Total paid$21K
24GClaims822
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#725 of 1,221
Median peer was paid$45K
This provider vs. median0.5×
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 | 522 | $16K | |
| 2019 | 196 | $4K | |
| 2020 | 61 | $582.62 | |
| 2021 | 16 | $143.69 | |
| 2022 | 27 | $417.28 |
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 | 78% | 594 | 564 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.9% | 40 | 39 | $2K |
| 51700 | 8.7% | 56 | 55 | $2K | |
| 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 | 3.9% | 76 | 74 | $806.62 |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 56 | 55 | $8.04 |
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.