Physician
Patel, Prahlad
Patel, Prahlad was paid $1.57M by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoPATEL, PRAHLAD
SICKLERVILLE, NJ 08081
SICKLERVILLE, NJ 08081
33aNPI1184705535assigned 10/18/2006
33bProvider typeInternal Medicine Physician
28Total paid$1.57M
24GClaims47,509
24DCodes billed27
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#44 of 1,027
Median peer was paid$30K
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 | |
|---|---|---|---|
| 2018 | 4,887 | $186K | |
| 2019 | 5,147 | $193K | |
| 2020 | 5,957 | $209K | |
| 2021 | 7,114 | $259K | |
| 2022 | 9,014 | $274K | |
| 2023 | 9,115 | $264K | |
| 2024incomplete | 6,275 | $182K |
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 | 37% | 13,117 | 11,670 | $584K |
| 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 | 24% | 6,390 | 6,246 | $379K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14% | 8,075 | 6,935 | $218K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 13% | 2,692 | 2,685 | $204K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.5% | 945 | 942 | $71K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.7% | 3,195 | 2,968 | $43K |
| 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 | 1.3% | 192 | 191 | $21K |
| 90674 | 1.2% | 1,203 | 1,174 | $19K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 986 | 979 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,201 | 5,054 | $9K |
| 90756 | <1% | 191 | 191 | $3K | |
| 90661 | <1% | 36 | 36 | $717.25 |
15 more codes
| 93922 | <1% | 24 | $635.41 | |
| 93000 | <1% | 53 | $398.47 | |
| 99423 | <1% | 12 | $336.34 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 141 | $108.52 |
| G0008 | Administration of influenza virus vaccine | <1% | 343 | $92.87 |
| 99407 | <1% | 12 | $59.15 | |
| 3078F | 0% | 894 | $0.00 | |
| 3051F | 0% | 102 | $0.00 | |
| 3077F | 0% | 79 | $0.00 | |
| 3074F | 0% | 1,201 | $0.00 | |
| 3075F | 0% | 857 | $0.00 | |
| 3079F | 0% | 1,308 | $0.00 | |
| 3061F | 0% | 13 | $0.00 | |
| 3044F | 0% | 230 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 17 | $0.00 |
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.