Physician
Patel, Pragnesh
Patel, Pragnesh was paid $537K by Medicaid between Jan 2018 and Dec 2020, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoPATEL, PRAGNESH
JEFFERSON CITY, TN 37760
JEFFERSON CITY, TN 37760
33aNPI1568529006assigned 01/03/2007
33bProvider typeInterventional Cardiology Physician
28Total paid$537K
24GClaims16,821
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Interventional Cardiology Physician providers in Tennessee
Rank by total paid#3 of 20
Median peer was paid$11K
This provider vs. median47×
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 | 6,360 | $195K | |
| 2019 | 6,365 | $215K | |
| 2020 | 4,096 | $128K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 5,395 | 4,680 | $141K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 22% | 2,193 | 2,036 | $118K |
| A9505 | Thallium tl-201 thallous chloride, diagnostic, per millicurie | 15% | 638 | 465 | $80K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 9.9% | 663 | 481 | $53K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.8% | 776 | 699 | $37K |
| 93880 | 4.3% | 543 | 509 | $23K | |
| 93458 | 3.3% | 248 | 206 | $18K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.2% | 643 | 466 | $17K |
| 93015 | 2.7% | 709 | 525 | $15K | |
| 99223 | Prolong inpt eval add15 m | 1.9% | 302 | 272 | $10K |
| 93000 | 1.0% | 871 | 773 | $5K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,588 | 1,334 | $4K |
17 more codes
| 99152 | <1% | 417 | $3K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 198 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 51 | $3K |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 50 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 127 | $2K |
| 99406 | <1% | 302 | $1K | |
| 93923 | <1% | 36 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 27 | $855.53 |
| 95923 | <1% | 18 | $641.40 | |
| 95924 | <1% | 18 | $296.20 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 14 | $275.60 |
| 99153 | Mod sedat endo service >5yrs | <1% | 95 | $108.80 |
| 93040 | <1% | 18 | $77.52 | |
| G9662 | Previously diagnosed or have a diagnosis of clinical ascvd, including ascvd procedure | 0% | 215 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 194 | $0.00 |
| 1036F | 0% | 316 | $0.00 | |
| 4086F | 0% | 156 | $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.