Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rajesh C Patel MD INC

Rajesh C Patel MD INC was paid $2.61M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 27% of everything it billed.

33Billing provider infoRAJESH C PATEL MD INC
DAYTON, OH 45415
33aNPI1467446369assigned 09/07/2005
28Total paid$2.61M
24GClaims83,823
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pulmonary Disease Physician providers in Ohio

Rank by total paid#2 of 42
Median peer was paid$34K
This provider vs. median76×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20189,010$251K
201910,006$314K
202011,832$389K
202113,909$474K
202212,930$396K
202314,084$392K
2024incomplete12,052$395K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 27% 14,394 5,687 $709K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 21% 19,817 9,817 $544K
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% 10,673 9,448 $451K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 11,678 10,502 $337K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.6% 6,020 3,437 $121K
99223 Prolong inpt eval add15 m 4.5% 2,105 1,926 $118K
94060 3.6% 4,452 3,907 $94K
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 3.0% 1,305 1,190 $78K
94729 2.0% 4,744 4,160 $53K
94726 1.8% 4,164 3,648 $47K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 176 151 $25K
94664 <1% 3,032 2,685 $12K
7 more codes
99442 <1% 458 $9K
94618 <1% 385 $6K
99222 Initial hospital care, per day, moderate complexity <1% 76 $3K
94727 <1% 300 $2K
99254 <1% 16 $923.43
31624 <1% 14 $462.91
94660 <1% 14 $294.34

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, RAJESH (PRESIDENT)
Same official

Other billing entities under PATEL, RAJESH

Full network →
ProviderLocationPaid
Interventional Pain Medicine PCHollis, NY$1.72M
Soft Landing Labs LTDHillside, IL$782K
Rajesh G Patel MD PLLCJackson, MS$614K
Mac Anesthesia, PCHollis, NY$145K
PSJ Pharmacy LLCCocoa, FL$34K
Forrayan LLCPlainfield, NJ$24K
Rajesh J Patel, M.D., P.A.Odessa, TX$17K
Maa Bhawani INCBeverly Hills, FL$0.00
Brevard Pharmacy LLCCocoa, FL$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.