Patel, Theresa

Patel, Theresa was paid $5K by Medicaid between Oct 2018 and Apr 2021, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 76% of everything it billed.

33Billing provider infoPATEL, THERESA
OCEANSIDE, NY 11572

33aNPI1609886985assigned 08/09/2006

33bProvider typeEmergency Medicine Physician

28Total paid$5K

24GClaims334

24DCodes billed6

24AFirst – last monthOct 2018 – Apr 2021

Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#1,033 of 2,113

Median peer was paid$5K

This provider vs. median1.1×

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	13	$366.70
2019	93	$2K
2020	212	$2K
2021	16	$357.85

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	76%	133	133	$4K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	22%	54	54	$1K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	1.7%	13	13	$83.72
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	0%	12	12	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	94	93	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	28	28	$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.