Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Patel, Nisha

Patel, Nisha was paid $273K by Medicaid between Oct 2018 and Mar 2020, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.

33Billing provider infoPATEL, NISHA
MINT HILL, NC 28227
33aNPI1225387830assigned 08/29/2012
33bProvider typeNurse Practitioner
28Total paid$273K
24GClaims5,045
24DCodes billed11
24AFirst – last monthOct 2018 – Mar 2020
Compared with peers

Next to other Nurse Practitioner providers in North Carolina

Rank by total paid#25 of 93
Median peer was paid$18K
This provider vs. median15×

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$20K$40K2018201920202021202220232024
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
201863$5K
20193,756$209K
20201,226$59K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 80% 2,772 898 $218K
99407 11% 1,376 597 $29K
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 2.9% 83 71 $8K
80305 1.8% 410 249 $5K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.5% 113 59 $4K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1.2% 36 22 $3K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 27 13 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 69 46 $2K
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% 29 19 $1K
95117 <1% 105 36 $608.02
80306 <1% 25 15 $314.67

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.