Physician
Patel, Priyanshi
Patel, Priyanshi was paid $197K by Medicaid between Aug 2023 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoPATEL, PRIYANSHI
NEWARK, OH 43055
NEWARK, OH 43055
33aNPI1386200509assigned 05/13/2019
33bProvider typePediatrics Physician
28Total paid$197K
24GClaims7,921
24DCodes billed32
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Ohio
Rank by total paid#115 of 401
Median peer was paid$30K
This provider vs. median6.7×
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 | |
|---|---|---|---|
| 2023 | 1,445 | $38K | |
| 2024incomplete | 6,476 | $159K |
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 | 24% | 1,094 | 1,016 | $48K |
| 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% | 510 | 489 | $34K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 1,756 | 775 | $26K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 388 | 361 | $23K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.7% | 329 | 322 | $19K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.2% | 324 | 295 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 140 | 137 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.1% | 940 | 757 | $8K |
| 99188 | 2.8% | 203 | 187 | $5K | |
| 96127 | 1.8% | 861 | 579 | $4K | |
| 90677 | <1% | 202 | 183 | $909.27 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | 17 | $511.73 |
20 more codes
| 96161 | <1% | 239 | $497.40 | |
| 87428 | <1% | 14 | $472.03 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 37 | $434.70 |
| 90686 | <1% | 120 | $258.17 | |
| 90716 | <1% | 18 | $178.91 | |
| 36416 | <1% | 50 | $156.07 | |
| 90707 | <1% | 16 | $98.44 | |
| 92551 | <1% | 13 | $88.15 | |
| 85018 | <1% | 50 | $87.81 | |
| 90633 | <1% | 59 | $80.69 | |
| 90680 | <1% | 90 | $10.50 | |
| 3078F | 0% | 21 | $0.00 | |
| 90710 | 0% | 15 | $0.00 | |
| 90696 | 0% | 29 | $0.00 | |
| 90651 | 0% | 96 | $0.00 | |
| 90698 | 0% | 48 | $0.00 | |
| 90656 | 0% | 127 | $0.00 | |
| 90697 | 0% | 48 | $0.00 | |
| 3074F | 0% | 21 | $0.00 | |
| 90619 | 0% | 45 | $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.