Physician
Rajesh Agarwal MD, LLC
Rajesh Agarwal MD, LLC was paid $2.95M by Medicaid between Jan 2018 and Nov 2024, across 56 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 29% of everything it billed.
33Billing provider infoRAJESH AGARWAL MD, LLC
MAYFIELD HEIGHTS, OH 44124
MAYFIELD HEIGHTS, OH 44124
33aNPI1942422035assigned 05/02/2007
33bProvider typeGeriatric Medicine (Internal Medicine) Physician
28Total paid$2.95M
24GClaims205,300
24DCodes billed56
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Geriatric Medicine (Internal Medicine) Physician providers in Ohio
Rank by total paid#1 of 28
Median peer was paid$58K
This provider vs. median51×
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 | 31,955 | $422K | |
| 2019 | 32,584 | $441K | |
| 2020 | 37,452 | $477K | |
| 2021 | 36,443 | $531K | |
| 2022 | 32,004 | $501K | |
| 2023 | 19,052 | $299K | |
| 2024incomplete | 15,810 | $276K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 29% | 78,714 | 36,599 | $845K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 20% | 45,338 | 16,853 | $581K |
| 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 | 7.6% | 4,927 | 4,547 | $224K |
| 99223 | Prolong inpt eval add15 m | 7.2% | 4,779 | 4,388 | $212K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.9% | 7,239 | 6,506 | $145K |
| 99335 | 4.9% | 10,267 | 6,950 | $144K | |
| 99222 | Initial hospital care, per day, moderate complexity | 4.2% | 4,363 | 4,022 | $124K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.5% | 7,487 | 2,664 | $73K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.4% | 1,144 | 1,106 | $71K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.4% | 3,941 | 2,069 | $71K |
| 99306 | Prolong nursin fac eval 15m | 2.3% | 2,347 | 2,080 | $68K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 2,335 | 2,008 | $67K |
44 more codes
| 99307 | 2.2% | 9,602 | $66K | |
| 99348 | 1.8% | 1,862 | $52K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.0% | 2,889 | $31K |
| 99220 | <1% | 406 | $20K | |
| 99217 | <1% | 725 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 865 | $11K |
| 90688 | <1% | 1,043 | $11K | |
| 99336 | <1% | 476 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,750 | $11K |
| 99497 | <1% | 1,796 | $11K | |
| 99349 | <1% | 311 | $10K | |
| 99334 | <1% | 1,185 | $10K | |
| 99442 | <1% | 637 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 407 | $7K |
| 99225 | <1% | 506 | $5K | |
| 99219 | <1% | 169 | $5K | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 1,028 | $4K |
| 99406 | <1% | 627 | $4K | |
| 99441 | <1% | 307 | $3K | |
| 99318 | <1% | 232 | $3K | |
| 82947 | <1% | 1,252 | $3K | |
| 99356 | <1% | 563 | $2K | |
| 99458 | <1% | 75 | $2K | |
| 99347 | <1% | 82 | $2K | |
| G0008 | Administration of influenza virus vaccine | <1% | 438 | $1K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,447 | $1K |
| 99454 | <1% | 94 | $1K | |
| 90715 | <1% | 73 | $1K | |
| 99457 | <1% | 88 | $1K | |
| 90658 | <1% | 51 | $932.15 | |
| 99354 | <1% | 608 | $871.86 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 135 | $770.10 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 55 | $693.92 |
| 90686 | <1% | 48 | $490.91 | |
| 90653 | <1% | 56 | $486.61 | |
| 90756 | <1% | 63 | $455.65 | |
| 82270 | <1% | 187 | $383.92 | |
| 99490 | Ccm add 20min | <1% | 81 | $336.43 |
| 99397 | <1% | 13 | $301.91 | |
| 99443 | <1% | 14 | $290.89 | |
| 99421 | <1% | 42 | $279.94 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $66.97 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 86 | $18.46 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 32 | $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 officialAGARWAL, RAJESH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Regal Geriatric Care | Forksville, PA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.