Sailaja Datla MD PLC

Sailaja Datla MD PLC was paid $567K by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoSAILAJA DATLA MD PLC
SAINT CLAIR SHORES, MI 48080

33aNPI1881928455assigned 09/29/2009

33bProvider typeInternal Medicine Physician

28Total paid$567K

24GClaims11,064

24DCodes billed39

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Michigan

Rank by total paid#173 of 816

Median peer was paid$70K

This provider vs. median8.1×

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	1,286	$57K
2019	1,004	$56K
2020	1,056	$55K
2021	1,925	$102K
2022	1,973	$108K
2023	2,144	$101K
2024incomplete	1,676	$88K

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	72%	4,645	4,330	$406K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.6%	803	749	$43K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	5.4%	814	188	$30K
99223	Prolong inpt eval add15 m	5.2%	261	241	$29K
99350	Prolong home eval add 15m	2.9%	382	366	$16K
99349		1.8%	128	122	$10K
99238	Hospital discharge day management, 30 minutes or less	1.5%	207	190	$9K
G0008	Administration of influenza virus vaccine	<1%	462	449	$4K
99443		<1%	44	44	$3K
90756		<1%	111	107	$3K
90688		<1%	146	142	$3K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	25	25	$2K

27 more codes

81003		<1%	1,365	$2K
90686		<1%	80	$1K
91320		<1%	13	$1K
90656		<1%	42	$821.82
99442		<1%	14	$761.88
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	32	$692.51
96127		<1%	156	$424.88
90480		<1%	15	$394.20
90658		<1%	16	$203.93
81002		<1%	77	$147.21
83036	Hemoglobin; glycosylated (A1C)	<1%	12	$85.20
82962		<1%	24	$56.86
3008F		<1%	76	$0.06
1034F		<1%	27	$0.03
98966		<1%	211	$0.02
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	15	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	14	$0.00
1036F		0%	31	$0.00
1159F		0%	103	$0.00
3725F		0%	217	$0.00
90662		0%	33	$0.00
G8482	Influenza immunization administered or previously received	0%	17	$0.00
1160F		0%	115	$0.00
99072		0%	122	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	140	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	12	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	57	$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 officialDATLA, SAILAJA (OWNER)