Sunit R Patel MD a Professional Corporation
Sunit R Patel MD a Professional Corporation was paid $2.87M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 31% of everything it billed.
33Billing provider infoSUNIT R PATEL MD A PROFESSIONAL CORPORATION
MERCED, CA 95340
MERCED, CA 95340
33aNPI1245403500assigned 04/08/2008
33bProvider typeSpecialist
28Total paid$2.87M
24GClaims31,497
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#85 of 1,230
Median peer was paid$51K
This provider vs. median56×
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 | 5,315 | $453K | |
| 2019 | 6,192 | $446K | |
| 2020 | 3,543 | $288K | |
| 2021 | 3,541 | $370K | |
| 2022 | 4,209 | $429K | |
| 2023 | 5,336 | $483K | |
| 2024incomplete | 3,361 | $402K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 31% | 1,787 | 1,782 | $889K |
| 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 | 27% | 11,854 | 11,620 | $776K |
| 95811 | 14% | 811 | 806 | $412K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 8.7% | 1,390 | 1,389 | $251K |
| 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 | 3.1% | 1,168 | 1,168 | $88K |
| 94729 | 3.1% | 2,917 | 2,889 | $88K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 1,444 | 1,439 | $71K |
| 94726 | 2.4% | 2,258 | 2,234 | $69K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.8% | 1,140 | 426 | $50K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.4% | 1,472 | 666 | $41K |
| 94060 | 1.3% | 1,605 | 1,580 | $38K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 154 | 151 | $19K |
13 more codes
| 94010 | <1% | 855 | $14K | |
| 94618 | <1% | 782 | $12K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 74 | $10K |
| 94375 | <1% | 219 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 76 | $8K |
| 94200 | <1% | 639 | $7K | |
| 99254 | <1% | 41 | $6K | |
| 99223 | Prolong inpt eval add15 m | <1% | 185 | $5K |
| 94727 | <1% | 265 | $4K | |
| 94150 | <1% | 159 | $3K | |
| 94664 | <1% | 139 | $719.29 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $273.11 |
| 99443 | <1% | 47 | $177.37 |
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, SUNIT (PRESIDENT)