Patel, Tushar

Patel, Tushar was paid $113K by Medicaid between Jan 2018 and Sep 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoPATEL, TUSHAR
LOWELL, MA 01854

33aNPI1376504399assigned 03/29/2006

33bProvider typeInternal Medicine Physician

28Total paid$113K

24GClaims1,814

24DCodes billed4

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#204 of 1,270

Median peer was paid$8K

This provider vs. median14×

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	412	$33K
2019	286	$16K
2020	282	$16K
2021	288	$17K
2022	389	$24K
2023	52	$3K
2024incomplete	105	$5K

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	90%	1,656	1,556	$102K
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	9.5%	122	116	$11K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	12	12	$245.40
96127		<1%	24	24	$236.21

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.