Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Patel, Nimesh

Patel, Nimesh was paid $2.01M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 36% of everything it billed.

33Billing provider infoPATEL, NIMESH
ASTORIA, NY 11106
33aNPI1588643779assigned 01/16/2006
33bProvider typeLegal Medicine
28Total paid$2.01M
24GClaims45,188
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Legal Medicine providers in New York

Rank by total paid#6 of 126
Median peer was paid$98K
This provider vs. median20×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20182,120$140K
20194,109$190K
20206,668$279K
20217,520$353K
20228,026$387K
20239,541$371K
2024incomplete7,204$293K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 36% 8,500 8,380 $717K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 22% 19,368 4,453 $435K
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 20% 7,881 7,492 $396K
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 6.9% 1,486 1,479 $138K
99222 Initial hospital care, per day, moderate complexity 4.7% 2,471 2,320 $95K
99223 Prolong inpt eval add15 m 3.6% 1,589 1,521 $73K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.6% 1,004 953 $73K
90935 Hemodialysis procedure with single evaluation by a physician 1.7% 1,661 700 $34K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.6% 757 684 $32K
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% 281 268 $13K
90962 <1% 45 45 $2K
90961 <1% 23 23 $2K
3 more codes
99254 <1% 16 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 93 $646.12
99306 Prolong nursin fac eval 15m <1% 13 $370.33

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.