A. Paul Kalanithi MD, PC
A. Paul Kalanithi MD, PC was paid $112K by Medicaid between Jan 2018 and Jun 2022, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoA. PAUL KALANITHI MD, PC
KINGMAN, AZ 86409
KINGMAN, AZ 86409
33aNPI1881636066assigned 06/12/2006
33bProvider typeSpecialist
28Total paid$112K
24GClaims3,323
24DCodes billed22
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Specialist providers in Arizona
Rank by total paid#91 of 179
Median peer was paid$112K
This provider vs. median1.0×
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 | 698 | $25K | |
| 2019 | 1,282 | $50K | |
| 2020 | 748 | $21K | |
| 2021 | 445 | $12K | |
| 2022 | 150 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 938 | 873 | $45K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 471 | 440 | $20K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 8.4% | 126 | 125 | $9K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 8.3% | 55 | 43 | $9K |
| 93000 | 7.5% | 887 | 830 | $8K | |
| J2785 | Injection, regadenoson, 0.1 mg | 3.6% | 30 | 29 | $4K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.5% | 32 | 30 | $4K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.0% | 26 | 26 | $3K |
| 99443 | 2.2% | 81 | 80 | $2K | |
| 99245 | 1.9% | 12 | 12 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 13 | 13 | $1K |
| 93015 | 1.1% | 29 | 28 | $1K |
10 more codes
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 30 | $874.89 |
| 99442 | <1% | 33 | $511.29 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $446.19 |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 30 | $358.59 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 157 | $0.00 |
| 1111F | 0% | 17 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 13 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 207 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 70 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 52 | $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 officialKALANITHI, A. (CEO)