Patel, Pradip

Patel, Pradip was paid $18K by Medicaid between Jan 2018 and Dec 2019, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.

33Billing provider infoPATEL, PRADIP
LOUISVILLE, KY 40272

33aNPI1003891599assigned 12/07/2005

33bProvider typePediatrics Physician

28Total paid$18K

24GClaims893

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Pediatrics Physician providers in Kentucky

Rank by total paid#95 of 156

Median peer was paid$41K

This provider vs. median0.4×

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

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

Year	Claims	Paid
2018	396	$6K
2019	497	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	82%	382	382	$15K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	13%	236	236	$2K
90472	Immunization administration, each additional vaccine (list separately)	2.5%	42	41	$449.78
90686		2.2%	79	79	$388.96
3008F		0%	125	125	$0.00
2014F		0%	29	29	$0.00

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.