Physician
Ajay Patel, MD a Professional Medical Corporation
Ajay Patel, MD a Professional Medical Corporation was paid $3.91M by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoAJAY PATEL, MD A PROFESSIONAL MEDICAL CORPORATION
DOWNEY, CA 90241
DOWNEY, CA 90241
33aNPI1235593567assigned 04/13/2016
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$3.91M
24GClaims64,670
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in California
Rank by total paid#4 of 70
Median peer was paid$39K
This provider vs. median101×
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 | 4,821 | $138K | |
| 2019 | 7,429 | $312K | |
| 2020 | 7,269 | $277K | |
| 2021 | 10,515 | $719K | |
| 2022 | 11,960 | $895K | |
| 2023 | 12,844 | $924K | |
| 2024incomplete | 9,832 | $640K |
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 | 73% | 39,675 | 37,574 | $2.86M |
| 64483 | 10.0% | 1,907 | 1,903 | $389K | |
| 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 | 5.6% | 2,644 | 2,633 | $218K |
| 64484 | 4.9% | 2,927 | 1,725 | $190K | |
| 99443 | 2.5% | 4,423 | 4,229 | $97K | |
| 20553 | 2.0% | 2,639 | 2,607 | $76K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,145 | 2,136 | $23K |
| 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% | 301 | 288 | $19K |
| 64493 | <1% | 87 | 87 | $14K | |
| 64494 | <1% | 149 | 101 | $6K | |
| 64495 | <1% | 123 | 87 | $5K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 127 | 126 | $5K |
18 more codes
| 20610 | <1% | 107 | $3K | |
| 99442 | <1% | 42 | $503.72 | |
| 3288F | <1% | 277 | $396.97 | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $363.54 |
| 1090F | <1% | 668 | $314.86 | |
| G8536 | No documentation of an elder maltreatment screen, reason not given | <1% | 682 | $237.72 |
| 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% | 36 | $134.71 |
| 1100F | <1% | 553 | $112.33 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 650 | $83.11 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 507 | $65.22 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | <1% | 521 | $64.83 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | <1% | 515 | $27.71 |
| G8540 | Functional outcome assessment not documented as being performed, documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter | <1% | 544 | $27.70 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 719 | $0.00 |
| 0518F | 0% | 479 | $0.00 | |
| 1036F | 0% | 937 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 258 | $0.00 |
| 1006F | 0% | 16 | $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, AJAY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Sewa Adult Day Care LLC | Edison, NJ | $26.34M |
| Sunrise Community Services LLC | North Brunswick, NJ | $5.91M |
| Ajay T Patel MD INC | Saint Albans, WV | $270K |
| Er Care of CFL LLC | Orlando, FL | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.