Physician
Patel & Patel MD INC
Patel & Patel MD INC was paid $3.98M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoPATEL & PATEL MD INC
SOUTH CHARLESTON, WV 25309
SOUTH CHARLESTON, WV 25309
33aNPI1467535450assigned 10/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$3.98M
24GClaims88,587
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in West Virginia
Rank by total paid#11 of 202
Median peer was paid$172K
This provider vs. median23×
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 | 8,756 | $577K | |
| 2019 | 4,407 | $236K | |
| 2020 | 16,301 | $696K | |
| 2021 | 15,239 | $624K | |
| 2022 | 16,417 | $653K | |
| 2023 | 15,732 | $664K | |
| 2024incomplete | 11,735 | $527K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 18,895 | 12,019 | $1.17M |
| 93975 | 12% | 3,619 | 2,912 | $479K | |
| 76819 | Fetal biophysical profile; without non-stress testing | 7.5% | 5,926 | 2,082 | $298K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 6.4% | 4,083 | 3,391 | $253K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 5.2% | 3,955 | 2,251 | $207K |
| 76820 | 4.8% | 6,304 | 2,314 | $190K | |
| 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 | 4.0% | 2,266 | 2,026 | $158K |
| 76830 | Ultrasound, transvaginal | 3.4% | 1,913 | 1,728 | $137K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 2.8% | 1,815 | 1,606 | $113K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.1% | 1,138 | 1,067 | $83K |
| 81002 | 1.9% | 3,628 | 2,152 | $74K | |
| 81025 | 1.7% | 3,604 | 3,178 | $68K |
34 more codes
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 1.6% | 660 | $65K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.5% | 596 | $58K |
| 87480 | 1.4% | 3,080 | $56K | |
| 87510 | 1.4% | 3,070 | $56K | |
| 87660 | 1.4% | 3,080 | $55K | |
| 59025 | Fetal non-stress test | 1.3% | 3,228 | $50K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.2% | 1,835 | $47K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.2% | 1,824 | $47K |
| 76801 | 1.1% | 779 | $42K | |
| 81003 | <1% | 9,998 | $38K | |
| 59514 | <1% | 55 | $34K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 317 | $30K |
| 58558 | <1% | 46 | $29K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 481 | $23K |
| 87210 | <1% | 499 | $22K | |
| 59430 | <1% | 94 | $20K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 35 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 406 | $13K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 215 | $11K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 14 | $10K |
| 57420 | <1% | 98 | $6K | |
| 54150 | <1% | 80 | $5K | |
| 87150 | <1% | 138 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 247 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 36 | $3K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 38 | $2K |
| 99401 | <1% | 33 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | $1K |
| 99219 | <1% | 15 | $980.43 | |
| 99406 | <1% | 15 | $156.05 | |
| 96127 | <1% | 28 | $83.43 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 143 | $42.91 |
| 99459 | 0% | 123 | $0.00 | |
| 4004F | 0% | 121 | $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 officialPATEL, KIRAN (OWNER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.