Patel, Ushma

Patel, Ushma was paid $270K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoPATEL, USHMA
ASHLAND, KY 41101

33aNPI1043322175assigned 08/31/2006

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$270K

24GClaims4,776

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Kentucky

Rank by total paid#7 of 29

Median peer was paid$31K

This provider vs. median8.6×

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	914	$65K
2019	446	$18K
2020	826	$59K
2021	896	$51K
2022	808	$45K
2023	529	$21K
2024incomplete	357	$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	39%	2,975	2,871	$104K
95886		24%	537	508	$66K
95910		19%	399	378	$50K
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	14%	720	691	$37K
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	4.9%	145	138	$13K

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.