Physician
Patel Healthcare, LLC
Patel Healthcare, LLC was paid $1.64M by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.
33Billing provider infoPATEL HEALTHCARE, LLC
EDISON, NJ 08820
EDISON, NJ 08820
33aNPI1326251265assigned 05/07/2007
33bProvider typeInternal Medicine Physician
28Total paid$1.64M
24GClaims99,162
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#41 of 1,027
Median peer was paid$30K
This provider vs. median55×
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 | 14,033 | $219K | |
| 2019 | 18,335 | $273K | |
| 2020 | 13,918 | $199K | |
| 2021 | 19,016 | $297K | |
| 2022 | 21,864 | $281K | |
| 2023 | 8,775 | $255K | |
| 2024incomplete | 3,221 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 54% | 20,163 | 17,986 | $881K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 12,400 | 10,620 | $477K |
| 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 | 5.2% | 1,201 | 1,164 | $86K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 3.3% | 486 | 454 | $53K |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.4% | 401 | 371 | $40K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.0% | 705 | 666 | $33K |
| 93015 | 1.2% | 617 | 581 | $20K | |
| 93000 | <1% | 1,591 | 1,538 | $16K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 871 | 825 | $8K |
| 90756 | <1% | 600 | 548 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,836 | 2,683 | $4K |
| 90674 | <1% | 239 | 236 | $4K |
16 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 33 | $2K |
| 90688 | <1% | 146 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $993.29 |
| 99397 | <1% | 20 | $738.10 | |
| 99401 | <1% | 29 | $544.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 179 | $507.08 |
| 90656 | <1% | 15 | $233.14 | |
| 99406 | <1% | 12 | $156.97 | |
| 90661 | <1% | 21 | $110.55 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 24,369 | $1.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 11,146 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 8,152 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 7,163 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 5,674 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 38 | $0.00 |
| 1036F | 0% | 42 | $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, RAJENDRA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Rajendra Patel MD INC | Chino, CA | $46K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.