Sunil Patel, D.O., INC.
Sunil Patel, D.O., INC. was paid $199K by Medicaid between Jan 2018 and Jun 2024, across 7 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 56% of everything it billed.
33Billing provider infoSUNIL PATEL, D.O., INC.
APPLE VALLEY, CA 92307
APPLE VALLEY, CA 92307
33aNPI1346662657assigned 01/07/2014
33bProvider typeSpecialist
28Total paid$199K
24GClaims4,991
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#419 of 1,230
Median peer was paid$51K
This provider vs. median3.9×
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 | 2,303 | $103K | |
| 2019 | 1,152 | $37K | |
| 2020 | 597 | $16K | |
| 2021 | 305 | $9K | |
| 2022 | 41 | $1K | |
| 2023 | 195 | $7K | |
| 2024incomplete | 398 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 56% | 2,975 | 623 | $112K |
| 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 | 17% | 1,185 | 1,110 | $35K |
| 99223 | Prolong inpt eval add15 m | 13% | 366 | 355 | $27K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.7% | 271 | 251 | $13K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.4% | 166 | 163 | $9K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 1.9% | 14 | 12 | $4K |
| 99490 | Ccm add 20min | <1% | 14 | 14 | $532.77 |
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, SUNIL (CEO)
| Provider | Location | Paid |
|---|---|---|
| Iselin Adult Day Care Center LLC | Iselin, NJ | $12.59M |
| Ocean Heart INC. | Maplewood, NJ | $4.18M |
| Ophthalmology Specialists of Texas, PLLC | Abilene, TX | $304K |
| Premiercare Physicians a California General Partnership | Tracy, CA | $137K |
| Innovative Anesthesia | Clarksville, MD | $11K |
| Digestive Disease Consultants PC | Staten Island, NY | $3K |
| Kokila Patel | Lakewood, WA | $1K |
| Abilene Surgery Center, LLC | Abilene, TX | $0.00 |
| Ama Pharmacy INC | Hayward, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.