Physician
Nilesh N. Patel MD INC
Nilesh N. Patel MD INC was paid $175K by Medicaid between Jul 2021 and Nov 2024, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 51% of everything it billed.
33Billing provider infoNILESH N. PATEL MD INC
GLENDORA, CA 91740
GLENDORA, CA 91740
33aNPI1114512498assigned 03/08/2021
33bProvider typeInfectious Disease Physician
28Total paid$175K
24GClaims14,841
24DCodes billed10
24AFirst – last monthJul 2021 – Nov 2024
Compared with peers
Next to other Infectious Disease Physician providers in California
Rank by total paid#77 of 222
Median peer was paid$61K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2021 | 477 | $8K | |
| 2022 | 3,196 | $43K | |
| 2023 | 4,092 | $82K | |
| 2024incomplete | 7,076 | $42K |
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 | 51% | 9,457 | 1,377 | $89K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 39% | 4,190 | 908 | $67K |
| 99222 | Initial hospital care, per day, moderate complexity | 6.9% | 299 | 299 | $12K |
| 99223 | Prolong inpt eval add15 m | 1.2% | 15 | 15 | $2K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 421 | 320 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 91 | 89 | $846.18 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 157 | 107 | $779.10 |
| J3490 | Unclassified drugs | <1% | 137 | 111 | $752.24 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 13 | 13 | $151.02 |
| 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 | <1% | 61 | 44 | $111.80 |
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, NILESH (MD)
| Provider | Location | Paid |
|---|---|---|
| Artemis of Arizona LLC | Phoenix, AZ | $11.08M |
| Nilesh Patel, MD, PC | New York, NY | $2.67M |
| My Home Doc LLC | Phoenix, AZ | $141K |
| Millgrove Medical Center INC | Audubon, PA | $131K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.