Physician
Patil, Nilesh
Patil, Nilesh was paid $27K by Medicaid between Feb 2022 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoPATIL, NILESH
SOMERSET, PA 15501
SOMERSET, PA 15501
33aNPI1285827840assigned 08/27/2007
33bProvider typeOrthopaedic Surgery Physician
28Total paid$27K
24GClaims919
24DCodes billed5
24AFirst – last monthFeb 2022 – Nov 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Pennsylvania
Rank by total paid#80 of 291
Median peer was paid$7K
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2022 | 133 | $4K | |
| 2023 | 437 | $13K | |
| 2024incomplete | 349 | $10K |
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 | 47% | 406 | 394 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 38% | 210 | 201 | $10K |
| 20610 | 8.3% | 111 | 77 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.3% | 69 | 67 | $2K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 0% | 123 | 118 | $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.