Patel, Pragnesh
Patel, Pragnesh was paid $20K by Medicaid between Jun 2021 and Oct 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoPATEL, PRAGNESH
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
33aNPI1346604345assigned 04/06/2016
33bProvider typeFoot & Ankle Surgery Podiatrist
28Total paid$20K
24GClaims560
24DCodes billed4
24AFirst – last monthJun 2021 – Oct 2023
Compared with peers
Next to other Foot & Ankle Surgery Podiatrist providers in Pennsylvania
Rank by total paid#55 of 233
Median peer was paid$3K
This provider vs. median6.0×
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 | |
|---|---|---|---|
| 2021 | 487 | $18K | |
| 2022 | 57 | $2K | |
| 2023 | 16 | $163.94 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 49% | 365 | 321 | $10K |
| L3010 | Foot, insert, removable, molded to patient model, longitudinal arch support, each | 45% | 100 | 42 | $9K |
| 73630 | 5.6% | 80 | 53 | $1K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 15 | 15 | $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.