Patel, Raj

Patel, Raj was paid $78K by Medicaid between Jan 2018 and Jul 2023, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 76% of everything it billed.

33Billing provider infoPATEL, RAJ
LA JOLLA, CA 92037

33aNPI1366486243assigned 06/15/2006

33bProvider typeEmergency Medicine Physician

28Total paid$78K

24GClaims1,009

24DCodes billed4

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#394 of 988

Median peer was paid$32K

This provider vs. median2.5×

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	211	$15K
2019	120	$9K
2020	102	$10K
2021	157	$11K
2022	407	$30K
2023	12	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	76%	617	611	$59K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	21%	169	168	$17K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	2.1%	16	16	$2K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	207	197	$141.92

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.