Patel, Prakashchandra

Patel, Prakashchandra was paid $96K by Medicaid between Jan 2018 and Oct 2020, across 12 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 25% of everything it billed.

33Billing provider infoPATEL, PRAKASHCHANDRA
SMYRNA, TN 37167

33aNPI1558384099assigned 07/25/2006

33bProvider typeEmergency Medicine Physician

28Total paid$96K

24GClaims4,169

24DCodes billed12

24AFirst – last monthJan 2018 – Oct 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Tennessee

Rank by total paid#118 of 332

Median peer was paid$56K

This provider vs. median1.7×

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	1,717	$40K
2019	1,686	$39K
2020	766	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95810	Polysomnography; sleep staging with 4 or more additional parameters	25%	215	165	$25K
94729		13%	970	771	$13K
94060		13%	899	713	$13K
95806		10%	152	134	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.8%	553	457	$8K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	7.1%	89	31	$7K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	5.8%	469	235	$6K
94726		4.8%	334	265	$5K
99223	Prolong inpt eval add15 m	3.6%	74	59	$3K
94727		3.5%	343	268	$3K
95811		3.4%	18	14	$3K
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	1.1%	53	41	$1K

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.