Physician
Patel, Vijay
Patel, Vijay was paid $3.53M by Medicaid between Jan 2018 and Jun 2023, across 42 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoPATEL, VIJAY
SPRINGFIELD, MA 01103
SPRINGFIELD, MA 01103
33aNPI1629033949assigned 04/19/2006
33bProvider typeInternal Medicine Physician
28Total paid$3.53M
24GClaims41,883
24DCodes billed42
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#18 of 1,270
Median peer was paid$8K
This provider vs. median422×
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 | 2,006 | $241K | |
| 2019 | 4,520 | $386K | |
| 2020 | 8,692 | $746K | |
| 2021 | 12,590 | $958K | |
| 2022 | 11,643 | $958K | |
| 2023 | 2,432 | $239K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 78% | 15,975 | 14,180 | $2.77M |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 5.8% | 5,510 | 5,102 | $205K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.9% | 2,692 | 2,529 | $138K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.1% | 891 | 881 | $74K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.9% | 1,917 | 1,773 | $67K |
| 97803 | 1.1% | 1,721 | 1,553 | $40K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,725 | 1,712 | $35K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 679 | 676 | $23K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 690 | 686 | $22K |
| 90686 | <1% | 1,591 | 1,588 | $21K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 231 | 231 | $17K |
| 80305 | <1% | 1,827 | 1,008 | $16K |
30 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 81 | $16K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 801 | $14K |
| 90750 | <1% | 127 | $11K | |
| 97802 | <1% | 388 | $11K | |
| 87634 | <1% | 172 | $11K | |
| 90746 | <1% | 155 | $10K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 659 | $6K |
| 90739 | <1% | 58 | $6K | |
| 90670 | <1% | 14 | $3K | |
| 82947 | <1% | 689 | $3K | |
| 0011A | <1% | 98 | $2K | |
| 90651 | <1% | 27 | $2K | |
| 90715 | <1% | 70 | $2K | |
| 0001A | <1% | 26 | $1K | |
| 0064A | <1% | 24 | $1K | |
| 86580 | <1% | 149 | $950.62 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 47 | $541.20 |
| 81025 | <1% | 81 | $515.16 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 53 | $465.98 |
| 97804 | <1% | 30 | $358.50 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 22 | $269.06 |
| 81002 | <1% | 91 | $240.12 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 16 | $195.36 |
| 91301 | <1% | 847 | $0.05 | |
| 91313 | 0% | 81 | $0.00 | |
| 91312 | 0% | 146 | $0.00 | |
| 91300 | 0% | 1,099 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 91307 | 0% | 152 | $0.00 | |
| 91306 | 0% | 219 | $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.