Ajay J Pathak, MD PA

Ajay J Pathak, MD PA was paid $217K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 78% of everything it billed.

33Billing provider infoAJAY J PATHAK, MD PA
FRISCO, TX 75034

33aNPI1225395015assigned 04/18/2012

33bProvider typeInternal Medicine Physician

28Total paid$217K

24GClaims3,492

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#130 of 1,028

Median peer was paid$10K

This provider vs. median21×

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	188	$421.49
2019	72	$35.04
2020	45	$527.93
2021	102	$5K
2022	392	$29K
2023	526	$37K
2024incomplete	2,167	$145K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	78%	1,927	1,738	$170K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	16%	1,075	616	$35K
99222	Initial hospital care, per day, moderate complexity	2.9%	89	81	$6K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.2%	111	92	$5K
99308	Subsequent nursing facility care, per day, straightforward	<1%	290	289	$456.53

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 officialPATHAK, AJAY (OWNER)