Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PATEL, PRAGNESH

NPI: 1568529006 · JEFFERSON CITY, TN 37760 · Interventional Cardiology Physician · NPI assigned 01/03/2007

$537K
Total Medicaid Paid
16,821
Total Claims
14,274
Beneficiaries
29
Codes Billed
2018-01
First Month
2020-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,360 $195K
2019 6,365 $215K
2020 4,096 $128K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,395 4,680 $141K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,193 2,036 $118K
A9505 Thallium tl-201 thallous chloride, diagnostic, per millicurie 638 465 $80K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 663 481 $53K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 776 699 $37K
93880 543 509 $23K
93458 248 206 $18K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 643 466 $17K
93015 709 525 $15K
99223 Prolong inpt eval add15 m 302 272 $10K
93000 871 773 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,588 1,334 $4K
99152 417 348 $3K
99232 Subsequent hospital care, per day, moderate complexity 198 93 $3K
99205 Prolong outpt/office vis 51 45 $3K
J2785 Injection, regadenoson, 0.1 mg 50 40 $2K
99233 Prolong inpt eval add15 m 127 107 $2K
99406 302 243 $1K
93923 36 17 $1K
99215 Prolong outpt/office vis 27 27 $855.53
95923 18 17 $641.40
95924 18 17 $296.20
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 14 $275.60
99153 Mod sedat endo service >5yrs 95 40 $108.80
93040 18 17 $77.52
G9662 Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure 215 195 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 194 179 $0.00
1036F 316 288 $0.00
4086F 156 141 $0.00