Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1285827840assigned 08/27/2007
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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2022133$4K
2023437$13K
2024incomplete349$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.