Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SWETANG PATEL, MD, PA

NPI: 1235143231 · JACKSONVILLE, NC 28546 · Family Medicine Physician · NPI assigned 07/28/2006

$582K
Total Medicaid Paid
30,299
Total Claims
26,682
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATEL, SWETANG (OWNER)
NPI Enumeration Date07/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 6,341 $77K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,321 8,285 $432K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,992 2,419 $86K
99199 Unlisted special service, procedure or report 13,515 13,346 $46K
99232 Subsequent hospital care, per day, moderate complexity 714 246 $11K
99337 22 22 $2K
99336 21 21 $2K
99223 Prolong inpt eval add15 m 34 27 $992.98
99239 Hospital discharge day management, more than 30 minutes 12 12 $366.75
90674 32 25 $345.65
99442 15 13 $275.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 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 88 51 $121.64
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 13 13 $109.26
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $28.26
81002 12 12 $25.20
1159F 52 44 $0.23
G8754 Most recent diastolic blood pressure < 90 mmhg 315 291 $0.12
G8752 Most recent systolic blood pressure < 140 mmhg 279 258 $0.12
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 585 494 $0.10
1160F 19 15 $0.08
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 410 352 $0.03
G9744 Patient not eligible due to active diagnosis of hypertension 181 149 $0.02
3017F 61 55 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 50 46 $0.00
1036F 362 315 $0.00
3014F 17 15 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 14 12 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 91 79 $0.00
90756 35 29 $0.00
3045F 12 12 $0.00