Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Kmrcpatel PLLC

Kmrcpatel PLLC was paid $98K by Medicaid between Nov 2023 and Dec 2024, across 7 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 23% of everything it billed.

33Billing provider infoKMRCPATEL PLLC
WYLIE, TX 75098
33aNPI1104520832assigned 03/28/2023
28Total paid$98K
24GClaims3,153
24DCodes billed7
24AFirst – last monthNov 2023 – Dec 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in Texas

Rank by total paid#82 of 151
Median peer was paid$125K
This provider vs. median0.8×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2023348$13K
2024incomplete2,805$85K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 23% 278 265 $23K
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 23% 283 273 $23K
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 21% 222 212 $20K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 183 170 $18K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 7.0% 620 564 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4.8% 913 522 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.9% 654 594 $3K

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, RIDHAM (OWNER/MANAGER)