Physician
Patel, Rajnikant
Patel, Rajnikant was paid $208K by Medicaid between Jan 2018 and Nov 2018, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoPATEL, RAJNIKANT
GRUNDY, VA 24614
GRUNDY, VA 24614
33aNPI1609845874assigned 03/17/2006
33bProvider typePediatrics Physician
28Total paid$208K
24GClaims4,346
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#180 of 817
Median peer was paid$29K
This provider vs. median7.1×
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 | 4,346 | $208K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 47% | 1,698 | 1,536 | $98K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 24% | 1,466 | 1,353 | $50K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 224 | 223 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 189 | 189 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.2% | 121 | 121 | $11K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4.3% | 551 | 534 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 97 | 97 | $7K |
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.