Patel, Sunil

Patel, Sunil was paid $10K by Medicaid between Jan 2018 and Aug 2019, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoPATEL, SUNIL
MAPLEWOOD, NJ 07040

33aNPI1255354726assigned 07/25/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$10K

24GClaims445

24DCodes billed5

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other Cardiovascular Disease Physician providers in New Jersey

Rank by total paid#110 of 204

Median peer was paid$12K

This provider vs. median0.8×

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	230	$3K
2019	215	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	275	244	$4K
93015		26%	47	39	$3K
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	18%	74	65	$2K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	9.6%	12	12	$945.71
93000		4.7%	37	37	$466.34

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.