Physician
Patel, Nilesh
Patel, Nilesh was paid $636K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 57% of everything it billed.
33Billing provider infoPATEL, NILESH
GLENDORA, CA 91740
GLENDORA, CA 91740
33aNPI1508858903assigned 08/22/2005
33bProvider typeInfectious Disease Physician
28Total paid$636K
24GClaims30,273
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Infectious Disease Physician providers in California
Rank by total paid#31 of 222
Median peer was paid$61K
This provider vs. median10×
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 | 7,626 | $94K | |
| 2019 | 8,424 | $128K | |
| 2020 | 7,051 | $174K | |
| 2021 | 2,976 | $66K | |
| 2022 | 997 | $46K | |
| 2023 | 854 | $36K | |
| 2024incomplete | 2,345 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 57% | 17,819 | 2,681 | $361K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 26% | 4,306 | 1,199 | $168K |
| 99222 | Initial hospital care, per day, moderate complexity | 9.3% | 903 | 889 | $59K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.8% | 1,440 | 1,190 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 431 | 362 | $10K |
| 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 | 1.5% | 562 | 466 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.2% | 1,273 | 909 | $7K |
| 99223 | Prolong inpt eval add15 m | 1.0% | 65 | 65 | $6K |
| J3490 | Unclassified drugs | <1% | 556 | 391 | $2K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,236 | 900 | $1K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 383 | 277 | $124.70 |
| 90662 | <1% | 28 | 28 | $60.98 |
4 more codes
| G0008 | Administration of influenza virus vaccine | <1% | 57 | $50.74 |
| G8482 | Influenza immunization administered or previously received | 0% | 347 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 465 | $0.00 |
| 4040F | 0% | 402 | $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.