Patel, Pravin

Patel, Pravin was paid $23K by Medicaid between Jan 2018 and Oct 2020, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.

33Billing provider infoPATEL, PRAVIN
FRANKLIN, NJ 07416

33aNPI1447227970assigned 03/03/2006

33bProvider typePulmonary Disease Physician

28Total paid$23K

24GClaims335

24DCodes billed2

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Pulmonary Disease Physician providers in New Jersey

Rank by total paid#60 of 112

Median peer was paid$24K

This provider vs. median0.9×

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	172	$14K
2019	106	$7K
2020	57	$3K

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	97%	317	302	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.1%	18	13	$698.43

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.