Patel, Sonal

Patel, Sonal was paid $458K by Medicaid between Apr 2018 and Jun 2023, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoPATEL, SONAL
MANSFIELD, MA 02048

33aNPI1336344357assigned 06/19/2007

33bProvider typeFamily Medicine Physician

28Total paid$458K

24GClaims10,011

24DCodes billed22

24AFirst – last monthApr 2018 – Jun 2023

Compared with peers

Next to other Family Medicine Physician providers in Massachusetts

Rank by total paid#48 of 744

Median peer was paid$10K

This provider vs. median44×

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	2,981	$121K
2019	227	$12K
2020	1,994	$96K
2021	1,784	$83K
2022	1,987	$100K
2023	1,038	$47K

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	40%	2,957	2,790	$183K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	38%	3,925	3,532	$173K
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	9.8%	287	231	$45K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	2.7%	188	185	$12K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	2.7%	218	214	$12K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.3%	350	302	$11K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.5%	804	775	$7K
83036	Hemoglobin; glycosylated (A1C)	<1%	693	684	$4K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	26	26	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	38	38	$3K
99051		<1%	85	84	$2K
77063	Screening digital breast tomosynthesis, bilateral	<1%	26	26	$999.43

10 more codes

87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	59	$634.40
0011A		<1%	25	$552.46
81025		<1%	106	$535.35
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	13	$304.98
0064A		<1%	14	$269.39
81002		<1%	107	$210.08
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	16	$149.34
87210		<1%	42	$145.20
90686		<1%	13	$19.26
90674		<1%	19	$0.90

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.