Physician
Swetang Patel, MD, PA
Swetang Patel, MD, PA was paid $582K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
33Billing provider infoSWETANG PATEL, MD, PA
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
33aNPI1235143231assigned 07/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$582K
24GClaims30,299
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#223 of 960
Median peer was paid$135K
This provider vs. median4.3×
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 | 4,334 | $84K | |
| 2019 | 2,748 | $91K | |
| 2020 | 2,194 | $76K | |
| 2021 | 3,424 | $91K | |
| 2022 | 5,532 | $88K | |
| 2023 | 5,726 | $76K | |
| 2024incomplete | 6,341 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 74% | 10,321 | 8,285 | $432K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 2,992 | 2,419 | $86K |
| 99199 | Unlisted special service, procedure or report | 7.9% | 13,515 | 13,346 | $46K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 714 | 246 | $11K |
| 99337 | <1% | 22 | 22 | $2K | |
| 99336 | <1% | 21 | 21 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 34 | 27 | $992.98 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | 12 | $366.75 |
| 90674 | <1% | 32 | 25 | $345.65 | |
| 99442 | <1% | 15 | 13 | $275.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | 12 | $152.82 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 88 | 51 | $121.64 |
18 more codes
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 13 | $109.26 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $28.26 |
| 81002 | <1% | 12 | $25.20 | |
| 1159F | <1% | 52 | $0.23 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 315 | $0.12 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 279 | $0.12 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 585 | $0.10 |
| 1160F | <1% | 19 | $0.08 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 410 | $0.03 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 181 | $0.02 |
| 3017F | 0% | 61 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 50 | $0.00 |
| 1036F | 0% | 362 | $0.00 | |
| 3014F | 0% | 17 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 14 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 91 | $0.00 |
| 90756 | 0% | 35 | $0.00 | |
| 3045F | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialPATEL, SWETANG (OWNER)