Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JONNALAGADDA, BALATHRIPURA

NPI: 1922111558 · NEW BRUNSWICK, NJ 08901 · Pediatrics Physician · NPI assigned 08/17/2006

$699K
Total Medicaid Paid
18,589
Total Claims
17,764
Beneficiaries
16
Codes Billed
2018-01
First Month
2020-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,382 $303K
2019 7,310 $274K
2020 3,897 $122K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,044 6,467 $339K
90460 Immunization administration through 18 years of age via any route, first or only component 4,463 4,301 $80K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,010 971 $75K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,437 1,435 $71K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 936 934 $48K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 744 742 $34K
90461 1,004 990 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 976 952 $12K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 228 227 $11K
90686 427 426 $7K
90651 24 24 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 115 114 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 14 $1K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 75 75 $240.04
97803 63 63 $46.35
97802 29 29 $11.25