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Priya Jegatheesan, MBBS

Neonatal-Perinatal Medicine · San Jose

NPI 1336238575

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
2
2 carriers
Office
1

Offices

1 location

Plans that list them

2 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Jegatheesan’s office at (408) 885-5405 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

2 of 2 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026

California Medical Board record

Licence A78135 · Current

Licensed to practise in California · since 2002 · expires 2027-10-31 · Madurai University Medical College.

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

Medicaid work

$417,559 in 2024

Medicaid paid $417,559 for 4,411 billed services this clinician did in 2024, up to 116 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 2024
Clinic visit/encounter, all-inclusive569$299,621
Service636$27,367
Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (List separately in addition to the code of the outpatient Evaluation and Management service)305$21,021
HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES743$12,411
Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger62$11,631
Subsequent intensive care, per day, for the evaluation and management of the recovering infant (present body weight of 2501-5000 grams)68$8,116
Service112$7,983
Service112$5,988
Service112$5,576
Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn188$5,100
Service109$3,717
Service112$3,326
Medicaid work by year
20244,41119116$417,559
20233,35917115$426,770
20221,2191661$149,006
202186524$14,703
2020724749$140,732
20197421175$58,694
2018485431$18,739
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive632$322,713
Service908$39,071
Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (List separately in addition to the code of the outpatient Evaluation and Management service)325$25,217
HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES500$6,403
Service83$5,916
Service97$5,186
Service96$4,780
Subsequent intensive care, per day, for the evaluation and management of the recovering infant (present body weight of 2501-5000 grams)56$4,777
Service97$2,881
Service75$2,558
Long return visit (40+ min)12$1,741
HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES175$1,412

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive222$111,511
Service208$8,950
Service68$4,847
Service68$3,635
PROLNG SVC O/P EA ADDL 3043$3,539
Service69$3,436
Prolonged service(s) in the outpatient setting requiring direct patient contact beyond the time of the usual service; first hour (List separately in addition to code for outpatient Evaluation and Management or psychotherapy service, except with office or other outpatient services [99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215])43$3,314
Service68$2,020
Service54$1,841
Long return visit (40+ min)14$1,810
Service68$1,131
Service52$865

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive25$12,143
PROLNG SVC O/P EA ADDL 3012$979
Prolonged service(s) in the outpatient setting requiring direct patient contact beyond the time of the usual service; first hour (List separately in addition to code for outpatient Evaluation and Management or psychotherapy service, except with office or other outpatient services [99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215])12$868
Service12$409
HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES25$304

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive351$133,421
Service117$3,990
HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES156$1,267
Service30$723
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter12$600
HOME VISIT NEW PATIENT28$371
Service30$362

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive98$37,528
Service168$7,229
Service135$4,604
Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn84$3,481
Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpretation and report33$2,117
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant62$1,837
Service40$964
Subsequent hospital care, per day, for evaluation and management of normal newborn29$437
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter17$316
HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES58$182
HOME/RES VST EST LOW MDM 3018$0

2018

Largest Medicaid services in 2018
Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn177$7,408
Service140$6,024
Service121$4,126
Service47$1,181

Professional record

NPI
1336238575
Licence
CA A78135California A78135: Current · expires 2027-10-31
More record details
Sole proprietor
No
Medicaid ID
CA 00A781350
Taxonomy
Federal specialty code 2080N0001X (2080N0001X); Pediatrics (208000000X)
Mailing address
751 S Bascom Ave, San Jose, CA, 95128
NPI first listed
2006-10-12
NPI last updated
2007-07-09

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