Medicaid Provider Spending

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

AJAY PATEL, MD A PROFESSIONAL MEDICAL CORPORATION

NPI: 1235593567 · DOWNEY, CA 90241 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI assigned 04/13/2016

$3.91M
Total Medicaid Paid
64,670
Total Claims
60,571
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPATEL, AJAY (CEO)
NPI Enumeration Date04/13/2016

Related Entities

Other providers sharing the same authorized official: PATEL, AJAY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 9,832 $640K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 39,675 37,574 $2.86M
64483 1,907 1,903 $389K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,644 2,633 $218K
64484 2,927 1,725 $190K
99443 4,423 4,229 $97K
20553 2,639 2,607 $76K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,145 2,136 $23K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 301 288 $19K
64493 87 87 $14K
64494 149 101 $6K
64495 123 87 $5K
J1030 Injection, methylprednisolone acetate, 40 mg 127 126 $5K
20610 107 106 $3K
99442 42 39 $503.72
3288F 277 261 $396.97
99205 Prolong outpt/office vis 12 12 $363.54
1090F 668 630 $314.86
G8536 No documentation of an elder maltreatment screen, reason not given 682 647 $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 36 35 $134.71
1100F 553 520 $112.33
G9903 Patient screened for tobacco use and identified as a tobacco non-user 650 609 $83.11
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 507 470 $65.22
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 521 489 $64.83
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 515 474 $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 544 512 $27.70
G8484 Influenza immunization was not administered, reason not given 719 681 $0.00
0518F 479 449 $0.00
1036F 937 889 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 258 236 $0.00
1006F 16 16 $0.00