Physician
Patel, Kunal
Patel, Kunal was paid $317K by Medicaid between Aug 2019 and Sep 2023, across 15 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 74% of everything it billed.
33Billing provider infoPATEL, KUNAL
PLEASANT PRAIRIE, WI 53158
PLEASANT PRAIRIE, WI 53158
33aNPI1548600240assigned 06/27/2013
33bProvider typeInternal Medicine Physician
28Total paid$317K
24GClaims6,825
24DCodes billed15
24AFirst – last monthAug 2019 – Sep 2023
Compared with peers
Next to other Internal Medicine Physician providers in Wisconsin
Rank by total paid#14 of 160
Median peer was paid$6K
This provider vs. median53×
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 | |
|---|---|---|---|
| 2019 | 648 | $24K | |
| 2020 | 1,145 | $44K | |
| 2021 | 2,163 | $110K | |
| 2022 | 1,875 | $80K | |
| 2023 | 994 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 74% | 2,120 | 790 | $233K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 1,589 | 893 | $38K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.7% | 715 | 403 | $21K |
| 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 | 5.6% | 418 | 401 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 203 | 160 | $6K |
| 94060 | <1% | 28 | 25 | $350.57 | |
| 94726 | <1% | 14 | 14 | $93.33 | |
| 94729 | <1% | 14 | 14 | $69.39 | |
| 1160F | <1% | 398 | 367 | $0.42 | |
| 3074F | <1% | 221 | 209 | $0.25 | |
| 3078F | <1% | 199 | 188 | $0.21 | |
| 1126F | 0% | 106 | 102 | $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.