Physician
Chopra, Prem
Chopra, Prem was paid $1.95M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoCHOPRA, PREM
WEST SENECA, NY 14224
WEST SENECA, NY 14224
33aNPI1932134988assigned 07/11/2006
33bProvider typePediatrics Physician
28Total paid$1.95M
24GClaims60,822
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#173 of 1,983
Median peer was paid$17K
This provider vs. median115×
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 | 6,638 | $197K | |
| 2019 | 8,473 | $265K | |
| 2020 | 7,961 | $205K | |
| 2021 | 9,123 | $298K | |
| 2022 | 8,956 | $299K | |
| 2023 | 9,637 | $330K | |
| 2024incomplete | 10,034 | $356K |
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 | 38% | 19,290 | 18,215 | $732K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 9,960 | 9,924 | $320K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 3,595 | 3,589 | $228K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.8% | 2,848 | 2,729 | $171K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.4% | 2,649 | 2,648 | $164K |
| 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 | 5.9% | 1,583 | 1,580 | $114K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 1,100 | 1,100 | $76K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 2,380 | 1,292 | $35K |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 182 | 181 | $18K |
| 99402 | <1% | 473 | 472 | $18K | |
| 87430 | <1% | 2,636 | 2,576 | $14K | |
| 97802 | <1% | 2,282 | 2,281 | $14K |
34 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 476 | $13K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,111 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,564 | $10K |
| 87807 | <1% | 270 | $3K | |
| 90677 | <1% | 91 | $2K | |
| 90620 | <1% | 25 | $2K | |
| 83655 | <1% | 111 | $1K | |
| 96127 | <1% | 334 | $1K | |
| 90688 | <1% | 1,224 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 30 | $864.67 |
| 90686 | <1% | 347 | $331.03 | |
| 99441 | <1% | 36 | $225.96 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $151.60 |
| 85018 | <1% | 73 | $93.81 | |
| 90656 | <1% | 63 | $65.10 | |
| 90685 | <1% | 151 | $61.02 | |
| 90715 | <1% | 26 | $52.13 | |
| 81002 | <1% | 26 | $29.58 | |
| 90700 | <1% | 1,781 | $25.00 | |
| 90633 | <1% | 140 | $24.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 13 | $16.80 |
| 90716 | 0% | 114 | $0.00 | |
| 90680 | 0% | 92 | $0.00 | |
| 36416 | 0% | 67 | $0.00 | |
| 99000 | 0% | 45 | $0.00 | |
| 90619 | 0% | 16 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 90744 | 0% | 13 | $0.00 | |
| 90713 | 0% | 916 | $0.00 | |
| 90648 | 0% | 857 | $0.00 | |
| 90670 | 0% | 698 | $0.00 | |
| 90707 | 0% | 85 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90461 | 0% | 12 | $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.