Physician
Patel Medical Associates LLC
Patel Medical Associates LLC was paid $346K by Medicaid between Jul 2019 and Dec 2024, across 14 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 36% of everything it billed.
33Billing provider infoPATEL MEDICAL ASSOCIATES LLC
PITTSBURGH, PA 15210
PITTSBURGH, PA 15210
33aNPI1053331249assigned 07/20/2006
33bProvider typeInternal Medicine Physician
28Total paid$346K
24GClaims15,479
24DCodes billed14
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Pennsylvania
Rank by total paid#72 of 1,726
Median peer was paid$6K
This provider vs. median53×
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 | 30 | $329.85 | |
| 2020 | 1,237 | $16K | |
| 2021 | 2,808 | $41K | |
| 2022 | 3,888 | $97K | |
| 2023 | 4,455 | $125K | |
| 2024incomplete | 3,061 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 36% | 3,754 | 959 | $124K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 36% | 8,041 | 3,312 | $123K |
| 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 | 8.9% | 709 | 647 | $31K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 6.6% | 919 | 253 | $23K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 6.3% | 597 | 310 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 256 | 219 | $8K |
| 99223 | Prolong inpt eval add15 m | 1.8% | 89 | 87 | $6K |
| 99306 | Prolong nursin fac eval 15m | <1% | 41 | 37 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 82 | 39 | $2K |
| 99307 | <1% | 215 | 154 | $2K | |
| 93000 | <1% | 106 | 103 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 15 | 15 | $549.47 |
2 more codes
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.
From NPPES
Who's on the registration
Authorized officialPATEL, KAUSHIK (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Lafayette Family Dental Care,llc | Hawthorne, NJ | $20K |
| Kaushik V Patel MD INC | Redding, CA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.