Medicaid Provider Spending

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

RAJESH AGARWAL MD, LLC

NPI: 1942422035 · MAYFIELD HEIGHTS, OH 44124 · Geriatric Medicine (Internal Medicine) Physician · NPI assigned 05/02/2007

$2.95M
Total Medicaid Paid
205,300
Total Claims
113,728
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialAGARWAL, RAJESH (OWNER)
NPI Enumeration Date05/02/2007

Related Entities

Other providers sharing the same authorized official: AGARWAL, RAJESH

ProviderCityStateTotal Paid
REGAL GERIATRIC CARE FORKSVILLE PA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 15,810 $276K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99308 Subsequent nursing facility care, per day, straightforward 78,714 36,599 $845K
99232 Subsequent hospital care, per day, moderate complexity 45,338 16,853 $581K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,927 4,547 $224K
99223 Prolong inpt eval add15 m 4,779 4,388 $212K
99239 Hospital discharge day management, more than 30 minutes 7,239 6,506 $145K
99335 10,267 6,950 $144K
99222 Initial hospital care, per day, moderate complexity 4,363 4,022 $124K
99231 Subsequent hospital care, per day, straightforward or low complexity 7,487 2,664 $73K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,144 1,106 $71K
99233 Prolong inpt eval add15 m 3,941 2,069 $71K
99306 Prolong nursin fac eval 15m 2,347 2,080 $68K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,335 2,008 $67K
99307 9,602 4,792 $66K
99348 1,862 1,525 $52K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,889 1,739 $31K
99220 406 377 $20K
99217 725 669 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 865 786 $11K
90688 1,043 954 $11K
99336 476 357 $11K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,750 1,535 $11K
99497 1,796 1,590 $11K
99349 311 237 $10K
99334 1,185 933 $10K
99442 637 563 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 407 361 $7K
99225 506 314 $5K
99219 169 157 $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 1,028 961 $4K
99406 627 604 $4K
99441 307 266 $3K
99318 232 206 $3K
82947 1,252 1,131 $3K
99356 563 454 $2K
99458 75 75 $2K
99347 82 67 $2K
G0008 Administration of influenza virus vaccine 438 405 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,447 1,279 $1K
99454 94 91 $1K
90715 73 69 $1K
99457 88 88 $1K
90658 51 50 $932.15
99354 608 548 $871.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 135 124 $770.10
99238 Hospital discharge day management, 30 minutes or less 55 46 $693.92
90686 48 43 $490.91
90653 56 56 $486.61
90756 63 61 $455.65
82270 187 170 $383.92
99490 Ccm add 20min 81 68 $336.43
99397 13 13 $301.91
99443 14 13 $290.89
99421 42 38 $279.94
83036 Hemoglobin; glycosylated (A1C) 13 12 $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) 86 77 $18.46
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 32 32 $0.00