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Prasanthi Govindarajan, MD

Emergency Medicine · Stanford

NPI 1205879517

Medicare standing
2 flags on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer
  • California licence: Delinquent

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Govindarajan’s office at (650) 723-4000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A91577 · Delinquent

Licence status: Delinquent · since 2005 · expires 2025-06-30 · Dr. M.G.R. Medical University Chennai Medical College.

License renewal fee has not been paid. No practice is permitted.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$1,106

Medicare paid this office $1,106 for 14 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Who their Medicare patients are

14 Original Medicare patients in 2024. Average age 77 · Health risk score 2.18. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75%.

The office billed $6,707, Medicare allowed $1,836 and paid $1,106; for 14 services of 5 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20241414772.18$6,707$1,106
2023192195762.32$123,432$24,002
2022173182742.18$97,850$21,581
2021116127762.11$76,254$16,048
2020156170762.05$100,648$21,352
2019164179732.08$96,631$20,254
2018153163741.71$73,324$17,833
2017252276732.21$146,192$31,835
2016231262732.11$140,945$30,147
2015337385722.29$300,405$44,448
2014280332702.19$483,031$37,037
2013176194662.08$274,625$21,513

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 3 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making94$14,436$154
Emergency department visit with moderate level of medical decision making52$5,169$99
Emergency department visit with low level of medical decision making12$695$58

2022: 3 services

Original Medicare services billed in 2022
Emergency department visit with moderate level of medical decision making74$8,603$116
Emergency department visit with high level of medical decision making49$8,174$167
Hospital observation care on day of discharge17$1,374$81

2021: 3 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making32$5,608$170
Emergency department visit with moderate level of medical decision making38$4,466$118
Hospital observation care on day of discharge13$1,019$78

2020: 6 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making70$11,479$164
Critical care, first 30-74 minutes13$2,712$209
Emergency department visit with moderate level of medical decision making16$1,592$100
Hospital observation care on day of discharge17$1,170$69
Initial hospital observation care per day, typically 30 minutes11$1,040$95
Emergency department visit with low level of medical decision making17$944$56

2019: 4 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making70$10,226$142
Emergency department visit with moderate level of medical decision making28$2,543$91
Critical care, first 30-74 minutes12$2,377$198
Hospital observation care on day of discharge14$946$68

2018: 5 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making45$6,182$137
Initial hospital observation care per day, typically 70 minutes12$2,008$167
Long return visit (40+ min)16$1,596$100
Emergency department visit with moderate level of medical decision making18$1,579$88
Hospital observation care on day of discharge20$1,337$67

2017: 6 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making124$18,029$145
Emergency department visit with moderate level of medical decision making55$5,279$96
Critical care, first 30-74 minutes13$2,552$196
Initial hospital observation care per day, typically 70 minutes13$2,148$165
Hospital observation care on day of discharge14$929$66
Emergency department visit with low level of medical decision making14$661$47

2016: 5 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making126$18,310$144
Emergency department visit with moderate level of medical decision making37$3,643$96
Critical care, first 30-74 minutes14$2,740$196
Hospital observation care on day of discharge22$1,449$66
Emergency department visit with low level of medical decision making17$853$50

2015: 7 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making177$24,844$140
Emergency department visit with moderate level of medical decision making66$6,171$92
Critical care, first 30-74 minutes21$4,129$197
Initial hospital observation care per day, typically 70 minutes11$1,828$166
Initial hospital observation care per day, typically 30 minutes17$1,514$89
Emergency department visit with low level of medical decision making28$1,334$48
Hospital observation care on day of discharge17$1,122$66

2014: 4 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making169$24,104$140
Emergency department visit with moderate level of medical decision making46$4,430$96
Critical care, first 30-74 minutes19$3,624$191
Emergency department visit with low level of medical decision making46$2,282$50

2013: 3 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making113$15,451$136
Emergency department visit with moderate level of medical decision making28$2,368$85
Emergency department visit with low level of medical decision making26$1,183$45

Medicaid work

$5,743 in 2023

Medicaid paid $5,743 for 67 billed services this clinician did in 2023, up to 16 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2023
EMERGENCY DEPARTMENT VISIT HIGH MDM37$3,297
EMERGENCY DEPT VISIT MOD MDM30$2,446
Medicaid work by year
202367216$5,743
202225112$2,089
202126113$1,811
202046133$2,047
201915115$1,169
2018125420$8,101
See the largest Medicaid services in earlier years

2022

Largest Medicaid services in 2022
EMERGENCY DEPT VISIT MOD MDM25$2,089

2021

Largest Medicaid services in 2021
EMERGENCY DEPT VISIT MOD MDM26$1,811

2020

Largest Medicaid services in 2020
EMERGENCY DEPT VISIT LOW MDM46$2,047

2019

Largest Medicaid services in 2019
EMERGENCY DEPT VISIT MOD MDM15$1,169

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT MOD MDM54$3,686
EMERGENCY DEPARTMENT VISIT HIGH MDM24$2,251
EMERGENCY DEPT VISIT LOW MDM33$1,625
Service14$539

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
76.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1205879517
Licence
CA A91577California A91577: Delinquent · expires 2025-06-30
More record details
Sole proprietor
No
Medicaid ID
CA 00A915770
Taxonomy
Federal specialty code 207P00000X (207P00000X); Federal specialty code 207PE0004X (207PE0004X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2006-06-14
NPI last updated
2024-03-20
NPI record certified
2024-03-20

This is when the NPI record was last certified, not a medical board exam.