PRAGNESHKUMAR RADADIYA, MD
Family Medicine Physician · INDIANAPOLIS, IN
Individual Active NPI 1548421985
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,487 | 4,239 | $1,015,842 | $431,382 | $336,586 |
| 2023 | 1,546 | 4,130 | $953,770 | $408,471 | $320,981 |
| 2022 | 1,884 | 5,445 | $1,230,214 | $501,944 | $390,903 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 1,020 | $69 | $53 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 782 | $169 | $132 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 615 | $100 | $80 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 392 | $110 | $87 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 364 | $73 | $56 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 348 | $67 | $51 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 245 | $100 | $80 |
| 99239 | Hospital discharge day management, more than 30 minutes | 243 | $105 | $83 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 61 | $160 | $123 |
| 99497 | Advance care planning, first 30 minutes | 44 | $70 | $56 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 23 | $120 | $91 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 23 | $41 | $33 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 01069393A | IN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.