Physician
Sagar Y. Patel M.D. LLC
Sagar Y. Patel M.D. LLC was paid $1.11M by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 76830, Ultrasound, transvaginal — 18% of everything it billed.
33Billing provider infoSAGAR Y. PATEL M.D. LLC
HOLMDEL, NJ 07733
HOLMDEL, NJ 07733
33aNPI1386923985assigned 08/12/2011
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1.11M
24GClaims39,696
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in New Jersey
Rank by total paid#24 of 186
Median peer was paid$75K
This provider vs. median15×
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 | 6,024 | $183K | |
| 2019 | 3,855 | $111K | |
| 2020 | 4,819 | $144K | |
| 2021 | 6,401 | $179K | |
| 2022 | 6,516 | $177K | |
| 2023 | 6,843 | $196K | |
| 2024incomplete | 5,238 | $116K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76830 | Ultrasound, transvaginal | 18% | 2,708 | 2,250 | $194K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 4,999 | 4,418 | $193K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 17% | 4,393 | 3,606 | $185K |
| 59426 | 11% | 2,545 | 1,125 | $118K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 9.2% | 1,609 | 1,335 | $101K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 7.1% | 1,844 | 1,839 | $78K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 6.8% | 802 | 671 | $75K |
| 59425 | 4.8% | 1,141 | 893 | $53K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 503 | 500 | $38K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.6% | 690 | 688 | $29K |
| 99459 | <1% | 1,214 | 1,000 | $10K | |
| 81025 | <1% | 2,808 | 2,402 | $9K |
6 more codes
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, SAGAR (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Balance Behavioral Health | Jackson, MS | $1.46M |
| Balance Sleep Centers of Mississippi, Jackson, LLC | Ridgeland, MS | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.