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

Prabhu B. Patil,m.D.,P.A

Prabhu B. Patil,m.D.,P.A was paid $127K by Medicaid between Jan 2018 and Aug 2023, across 21 billing codes. Its largest line is 99444, — 69% of everything it billed.

33Billing provider infoPRABHU B. PATIL,M.D.,P.A
HOUSTON, TX 77076
33aNPI1467474593assigned 07/25/2006
28Total paid$127K
24GClaims5,882
24DCodes billed21
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers

Next to other Internal Medicine Physician providers in Texas

Rank by total paid#196 of 1,028
Median peer was paid$10K
This provider vs. median12×

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$5.0K$10K2018201920202021202220232024
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
20181,724$61K
20191,253$35K
20201,122$15K
20211,667$14K
202276$2K
202340$786.64
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99444 69% 1,552 392 $87K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 1,098 969 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6.3% 560 473 $8K
99423 3.8% 93 25 $5K
99308 Subsequent nursing facility care, per day, straightforward 3.3% 796 728 $4K
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 3.3% 190 163 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 162 152 $847.91
99307 <1% 30 28 $72.99
94760 <1% 203 176 $47.08
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 16 15 $37.15
99072 <1% 68 51 $3.00
1159F 0% 241 181 $0.00
9 more codes
1160F 0% 241 $0.00
3077F 0% 76 $0.00
3078F 0% 40 $0.00
3080F 0% 107 $0.00
3074F 0% 81 $0.00
99305 0% 14 $0.00
3008F 0% 269 $0.00
3075F 0% 31 $0.00
3079F 0% 14 $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.

From NPPES

Who's on the registration

Authorized officialPATIL, PRABHU (OWNER)