MAHALAKSHMI RAMCHANDRA, M.D.
NPI 1013951649, individual, Dickinson, TX, Pediatrics
- Hours beyond a day in 1 month, but with up to 1734 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 87426 ($50 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 25.7 | 28.4 | 18.9 | 27.9 | 1734 | 1 | 99204 99212 99213 99214 | $88K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MAHALAKSHMI RAMCHANDRA, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | June 15, 2006, last updated November 21, 2007 |
| Practice location | 2251 FM 646 WEST, SUITE 155, Dickinson, TX 77539-3235, 281-614-2445 |
| Mailing address | 3010 CEDAR RIDGE TRL, Friendswood, TX 77546-5034 |
| Specialties | Pediatrics (208000000X, primary, license K9637 TX) Pediatrics (208000000X, license MD119802 MO) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.4M | 15% | $42 | $44 (top 5% from $110) | 47th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.2M | 14% | $57 | $60 (top 5% from $133) | 46th percentile | |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $949K | 11% | $50 | $32 (top 5% from $49) | 96th percentile | |
| 99393 | Medicaid service code | $794K | 9% | $88 | $78 (top 5% from $121) | 67th percentile | |
| 99394 | Medicaid service code | $649K | 7% | $96 | $83 (top 5% from $128) | 69th percentile | |
| G0315 | Medicaid service code | $627K | 7% | $46 | $32 (top 5% from $46) | 95th percentile | |
| 99392 | Medicaid service code | $611K | 7% | $83 | $78 (top 5% from $124) | 58th percentile | |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | $480K | 5% | $30 | $22 (top 5% from $33) | 90th percentile |
In this area
7 providers in Galveston County, TX carry an indicator in the public record, with $154K at stake between them. The most common is paid after a public list action, on 2 of them, followed by part of a provider network on 2. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | JANIS FOWLER-GULDE Hitchcock, TX, ranked 372 | $2K |
|
| 1 | VITAVIA TELEMEDICINE PLLC League City, TX, ranked 411 | $562 |
|
| 3 | DEMPSEY SPEARS Texas City, TX, ranked 1572 | $7K |
|
| 3 | INTEGRITY HOSPICE LLC League City, TX, ranked 2081 | $0 |
|
| 3 | RJ MERIDIAN CARE OF GALVESTON,LLC Galveston, TX, ranked 2316 | $0 |
|
| 5 | SYED ZAIDI Friendswood, TX, ranked 11552 | $141K | |
| 5 | RACHEL MCCLOSKEY Texas City, TX, ranked 11960 | $4K |
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.