Physician
Patel, Viral
Patel, Viral was paid $116K by Medicaid between Oct 2020 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 92% of everything it billed.
33Billing provider infoPATEL, VIRAL
MIDDLETOWN, PA 17057
MIDDLETOWN, PA 17057
33aNPI1417169541assigned 05/03/2007
33bProvider typeSurgery Physician
28Total paid$116K
24GClaims3,250
24DCodes billed13
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in Pennsylvania
Rank by total paid#24 of 190
Median peer was paid$3K
This provider vs. median35×
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 | |
|---|---|---|---|
| 2020 | 17 | $498.51 | |
| 2021 | 224 | $10K | |
| 2022 | 561 | $21K | |
| 2023 | 1,165 | $40K | |
| 2024incomplete | 1,283 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 92% | 2,387 | 2,286 | $107K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 185 | 180 | $6K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 15 | 15 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | 25 | $968.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 12 | 12 | $601.02 |
| 90682 | <1% | 17 | 14 | $498.51 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 22 | 22 | $276.00 |
| 92551 | <1% | 12 | 12 | $44.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 504 | 503 | $0.00 |
| 90674 | 0% | 32 | 32 | $0.00 | |
| 90673 | 0% | 12 | 12 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 12 | 12 | $0.00 |
1 more codes
| 90661 | 0% | 15 | $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.