Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Jayesh J. Patel M.D. INC

Jayesh J. Patel M.D. INC was paid $131K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 96156, — 70% of everything it billed.

33Billing provider infoJAYESH J. PATEL M.D. INC
FAIRFIELD, CA 94533
33aNPI1326236753assigned 10/10/2007
28Total paid$131K
24GClaims17,728
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in California

Rank by total paid#139 of 422
Median peer was paid$25K
This provider vs. median5.4×

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$10K$20K2018201920202021202220232024
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
20181,510$2K
20191,496$1K
20202,685$8K
20212,801$3K
20222,680$6K
20233,348$50K
2024incomplete3,208$61K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
96156 70% 1,089 1,073 $92K
99407 11% 727 723 $14K
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 11% 13,365 12,744 $14K
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 4.4% 500 460 $6K
99205 Prolong outpt/office vis 1.7% 473 469 $2K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.7% 791 781 $2K
99406 <1% 113 112 $1K
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 <1% 79 79 $137.80
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 246 222 $36.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 295 295 $0.00
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 50 49 $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.

From NPPES

Who's on the registration

Authorized officialPATEL, JAYESH (PRESIDENT)
Same official

Other billing entities under PATEL, JAYESH

Full network →
ProviderLocationPaid
Delaware Adult Daycare LLCNew Castle, DE$1.17M
Primary Care Affiliates of NJ, PASomerdale, NJ$930.00
Jayesh V. Patel DO PATitusville, FL$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.