Physician
Patel, Nila
Patel, Nila was paid $953K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoPATEL, NILA
STATEN ISLAND, NY 10312
STATEN ISLAND, NY 10312
33aNPI1255391207assigned 03/24/2006
33bProvider typePediatrics Physician
28Total paid$953K
24GClaims21,003
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#295 of 1,983
Median peer was paid$17K
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 | 2,111 | $83K | |
| 2019 | 2,425 | $94K | |
| 2020 | 2,548 | $111K | |
| 2021 | 3,434 | $157K | |
| 2022 | 3,803 | $179K | |
| 2023 | 3,285 | $163K | |
| 2024incomplete | 3,397 | $166K |
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 | 75% | 9,434 | 7,168 | $718K |
| 92557 | 4.8% | 1,396 | 1,390 | $46K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.4% | 3,051 | 2,898 | $42K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 324 | 310 | $29K |
| 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 | 2.7% | 252 | 237 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 258 | 257 | $25K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 209 | 205 | $21K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 3,567 | 3,210 | $21K |
| 99205 | Prolong outpt/office vis | 1.2% | 63 | 63 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 490 | 246 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 40 | 38 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 214 | 211 | $3K |
3 more codes
| 99173 | <1% | 1,479 | $3K | |
| 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% | 44 | $576.41 |
| 90686 | <1% | 182 | $317.07 |
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.