Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › St Charles › NPI 1992940274
Physician

Adavadkar-Gholap, Tejasi

Adavadkar-Gholap, Tejasi was paid $274K by Medicaid between Apr 2018 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider infoADAVADKAR-GHOLAP, TEJASI
ST CHARLES, IL 60175
33aNPI1992940274assigned 12/15/2008
33bProvider typePediatrics Physician
28Total paid$274K
24GClaims5,325
24DCodes billed27
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#447 of 1,805
Median peer was paid$55K
This provider vs. median5.0×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
201893$3K
2019146$5K
202040$1K
202169$3K
202242$2K
20231,198$59K
2024incomplete3,737$201K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 37% 1,175 1,088 $101K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 534 500 $29K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 9.9% 327 310 $27K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.7% 351 327 $27K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.5% 309 227 $23K
87428 2.9% 126 117 $8K
99238 Hospital discharge day management, 30 minutes or less 2.8% 246 242 $8K
96127 2.7% 519 475 $8K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.7% 111 67 $7K
99460 2.3% 144 138 $6K
90677 2.1% 73 40 $6K
90651 1.6% 102 98 $4K
15 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.6% 272 $4K
90656 <1% 161 $3K
90686 <1% 161 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 150 $2K
90734 <1% 112 $2K
83655 <1% 97 $1K
90716 <1% 58 $969.18
90707 <1% 45 $751.95
90633 <1% 35 $568.14
90648 <1% 34 $568.14
90715 <1% 26 $434.46
90620 <1% 21 $350.91
91320 <1% 18 $300.78
85018 <1% 94 $218.08
99173 <1% 24 $178.80

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.