Physician
Raval, Parthiv
Raval, Parthiv was paid $561K by Medicaid between Jan 2018 and Mar 2022, across 9 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 27% of everything it billed.
33Billing provider infoRAVAL, PARTHIV
CLIFTON, NJ 07013
CLIFTON, NJ 07013
33aNPI1295712446assigned 12/29/2005
33bProvider typeGastroenterology Physician
28Total paid$561K
24GClaims6,844
24DCodes billed9
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Gastroenterology Physician providers in New Jersey
Rank by total paid#15 of 150
Median peer was paid$27K
This provider vs. median21×
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 | 1,926 | $170K | |
| 2019 | 2,069 | $174K | |
| 2020 | 1,087 | $85K | |
| 2021 | 1,422 | $111K | |
| 2022 | 340 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 27% | 1,273 | 1,272 | $153K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 17% | 949 | 949 | $98K |
| 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 | 15% | 1,836 | 1,816 | $86K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 13% | 524 | 524 | $74K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 6.9% | 210 | 210 | $39K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.9% | 1,148 | 1,133 | $39K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 6.2% | 295 | 294 | $35K |
| 99243 | 4.2% | 312 | 312 | $24K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.7% | 297 | 297 | $15K |
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.