Physician
Niki Patel MD PC
Niki Patel MD PC was paid $49K by Medicaid between May 2018 and Nov 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoNIKI PATEL MD PC
FISHKILL, NY 12524
FISHKILL, NY 12524
33aNPI1518415199assigned 09/13/2016
33bProvider typeInternal Medicine Physician
28Total paid$49K
24GClaims43,603
24DCodes billed46
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#1,747 of 6,049
Median peer was paid$11K
This provider vs. median4.3×
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 | 1,001 | $11K | |
| 2019 | 1,932 | $6K | |
| 2020 | 8,370 | $7K | |
| 2021 | 11,569 | $6K | |
| 2022 | 2,825 | $2K | |
| 2023 | 9,871 | $10K | |
| 2024incomplete | 8,035 | $7K |
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 | 39% | 3,927 | 3,244 | $19K |
| 93000 | 25% | 1,142 | 1,139 | $12K | |
| 94060 | 9.3% | 124 | 124 | $5K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 8.9% | 1,344 | 1,277 | $4K |
| 94010 | 7.4% | 136 | 136 | $4K | |
| 90686 | 5.5% | 136 | 136 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 182 | 175 | $848.41 |
| 99402 | 1.3% | 1,058 | 1,058 | $653.24 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 191 | 179 | $434.87 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 333 | 333 | $256.76 |
| 99408 | <1% | 1,033 | 1,031 | $251.43 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,061 | 1,057 | $119.24 |
34 more codes
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,007 | $103.93 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,599 | $101.45 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 746 | $45.85 |
| 99000 | 0% | 325 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 1,210 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 726 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 836 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 4,343 | $0.00 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 1,253 | $0.00 |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | 0% | 23 | $0.00 |
| 1126F | 0% | 58 | $0.00 | |
| 3008F | 0% | 91 | $0.00 | |
| 99441 | 0% | 13 | $0.00 | |
| 2010F | 0% | 93 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 19 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 234 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,368 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 1,238 | $0.00 |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 1,674 | $0.00 |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 1,066 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 696 | $0.00 |
| 99173 | 0% | 1,025 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 4,215 | $0.00 |
| G9507 | Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) | 0% | 1,233 | $0.00 |
| 99072 | 0% | 659 | $0.00 | |
| 1159F | 0% | 92 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,679 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 131 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 55 | $0.00 |
| G9621 | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | 0% | 63 | $0.00 |
| 97803 | 0% | 26 | $0.00 | |
| 1160F | 0% | 92 | $0.00 | |
| G9276 | Documentation that patient is a current tobacco user | 0% | 16 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 32 | $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, NIKI (AUTHORIZED OFFICIAL)