Patel, Nileshkumar

Patel, Nileshkumar was paid $100K by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoPATEL, NILESHKUMAR
PATCHOGUE, NY 11772

33aNPI1043316755assigned 09/16/2006

33bProvider typeFamily Medicine Physician

28Total paid$100K

24GClaims9,887

24DCodes billed33

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#574 of 2,605

Median peer was paid$10K

This provider vs. median9.9×

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	561	$9K
2019	2,563	$9K
2020	2,842	$23K
2021	1,500	$16K
2022	859	$9K
2023	931	$19K
2024incomplete	631	$16K

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	54%	1,676	1,554	$54K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	42%	2,332	1,955	$42K
99406		<1%	281	259	$904.52
92587		<1%	52	51	$678.72
36415	Collection of venous blood by venipuncture	<1%	938	911	$445.46
93000		<1%	83	79	$376.54
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	238	231	$372.41
90674		<1%	42	42	$225.71
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	26	25	$169.38
99401		<1%	79	72	$156.52
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	34	13	$74.56
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	<1%	416	413	$57.10

21 more codes

99490	Ccm add 20min	<1%	39	$49.70
99348		<1%	12	$13.32
3074F		<1%	305	$2.50
3078F		<1%	194	$2.50
1036F		0%	297	$0.00
3079F		0%	111	$0.00
3008F		0%	407	$0.00
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	0%	375	$0.00
99000		0%	444	$0.00
3048F		0%	14	$0.00
3044F		0%	15	$0.00
G0008	Administration of influenza virus vaccine	0%	62	$0.00
96127		0%	34	$0.00
3075F		0%	14	$0.00
11721		0%	39	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	375	$0.00
4004F		0%	69	$0.00
G0444	Annual depression screening, 5 to 15 minutes	0%	258	$0.00
1160F		0%	370	$0.00
1159F		0%	242	$0.00
90653		0%	14	$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.