Physician
Patel, Sunil
Patel, Sunil was paid $316K by Medicaid between Apr 2018 and Aug 2024, across 16 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 40% of everything it billed.
33Billing provider infoPATEL, SUNIL
APPLE VALLEY, CA 92307
APPLE VALLEY, CA 92307
33aNPI1134274012assigned 01/24/2007
33bProvider typeNephrology Physician
28Total paid$316K
24GClaims7,305
24DCodes billed16
24AFirst – last monthApr 2018 – Aug 2024
Compared with peers
Next to other Nephrology Physician providers in California
Rank by total paid#107 of 363
Median peer was paid$80K
This provider vs. median4.0×
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 | 499 | $25K | |
| 2019 | 533 | $27K | |
| 2020 | 519 | $26K | |
| 2021 | 237 | $14K | |
| 2022 | 429 | $33K | |
| 2023 | 2,973 | $104K | |
| 2024incomplete | 2,115 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 40% | 998 | 783 | $126K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 22% | 1,706 | 1,604 | $70K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 21% | 2,255 | 458 | $67K |
| 99223 | Prolong inpt eval add15 m | 5.2% | 353 | 331 | $16K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.8% | 54 | 53 | $6K |
| 93976 | 1.6% | 67 | 67 | $5K | |
| 99490 | Ccm add 20min | 1.4% | 185 | 185 | $4K |
| 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 | 1.2% | 105 | 99 | $4K |
| 99454 | 1.2% | 261 | 260 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.1% | 75 | 73 | $4K |
| 99458 | 1.1% | 534 | 534 | $3K | |
| 99457 | <1% | 428 | 425 | $3K |
4 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.