Physician
Patel, Alpesh
Patel, Alpesh was paid $19K by Medicaid between Jan 2019 and Mar 2020, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoPATEL, ALPESH
MESA, AZ 85209
MESA, AZ 85209
33aNPI1003906751assigned 10/13/2006
33bProvider typeGastroenterology Physician
28Total paid$19K
24GClaims629
24DCodes billed7
24AFirst – last monthJan 2019 – Mar 2020
Compared with peers
Next to other Gastroenterology Physician providers in Arizona
Rank by total paid#47 of 63
Median peer was paid$93K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 522 | $13K | |
| 2020 | 107 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 50% | 302 | 245 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 39% | 126 | 110 | $7K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 14 | 12 | $2K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 52 | 25 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 31 | 13 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 52 | 25 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 52 | 25 | $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.