Physician
Kalpesh Patel MD INC
Kalpesh Patel MD INC was paid $521K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 60% of everything it billed.
33Billing provider infoKALPESH PATEL MD INC
NORTHRIDGE, CA 91325
NORTHRIDGE, CA 91325
33aNPI1588100168assigned 01/06/2017
33bProvider typeInternal Medicine Physician
28Total paid$521K
24GClaims16,566
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#232 of 2,679
Median peer was paid$13K
This provider vs. median41×
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 | 1,803 | $33K | |
| 2019 | 1,234 | $34K | |
| 2020 | 2,127 | $65K | |
| 2021 | 3,025 | $104K | |
| 2022 | 3,039 | $111K | |
| 2023 | 2,404 | $93K | |
| 2024incomplete | 2,934 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 60% | 13,241 | 2,351 | $312K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 19% | 935 | 934 | $101K |
| 99223 | Prolong inpt eval add15 m | 15% | 1,266 | 1,211 | $77K |
| 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 | 4.0% | 720 | 706 | $21K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 390 | 384 | $10K |
| 99254 | <1% | 14 | 14 | $716.49 |
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, KALPESH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Texas Institute of Interventional Pulmonary & Sleep, LTD | Kyle, TX | $13K |
| Marketplace Dental PC | Irving, TX | $0.00 |
| Aakash LLC | Lake Wales, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.