Physician
Patel, Sumit
Patel, Sumit was paid $54K by Medicaid between Jul 2022 and Jul 2024, across 3 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 77% of everything it billed.
33Billing provider infoPATEL, SUMIT
RIDLEY PARK, PA 19078
RIDLEY PARK, PA 19078
33aNPI1285896498assigned 06/29/2008
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$54K
24GClaims772
24DCodes billed3
24AFirst – last monthJul 2022 – Jul 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in Pennsylvania
Rank by total paid#41 of 148
Median peer was paid$8K
This provider vs. median7.2×
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 | 87 | $4K | |
| 2023 | 307 | $30K | |
| 2024incomplete | 378 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 77% | 483 | 437 | $42K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 177 | 28 | $7K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.5% | 112 | 25 | $5K |
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.