Patel, Niki

Patel, Niki was paid $294K by Medicaid between Jan 2018 and Nov 2024, across 86 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoPATEL, NIKI
NEW YORK, NY 10032

33aNPI1629207907assigned 07/08/2009

33bProvider typeInternal Medicine Physician

28Total paid$294K

24GClaims156,879

24DCodes billed86

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#669 of 6,049

Median peer was paid$11K

This provider vs. median26×

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	12,816	$65K
2019	38,034	$68K
2020	23,476	$39K
2021	27,436	$48K
2022	19,232	$21K
2023	19,339	$31K
2024incomplete	16,546	$22K

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	34%	8,030	6,478	$100K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	14%	2,099	1,842	$40K
G0444	Annual depression screening, 5 to 15 minutes	8.4%	1,885	1,875	$25K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	6.5%	1,254	1,249	$19K
93000		3.1%	2,512	2,504	$9K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	2.7%	917	698	$8K
99402		2.3%	1,943	1,933	$7K
3074F		2.2%	4,858	3,967	$7K
94060		2.1%	515	510	$6K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	2.1%	396	396	$6K
3079F		2.1%	3,377	2,930	$6K
99173		1.8%	1,722	1,714	$5K

74 more codes

G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	1.8%	8,163	$5K
3078F		1.7%	4,265	$5K
94010		1.6%	508	$5K
3075F		1.3%	2,401	$4K
99408		1.2%	1,725	$4K
90686		1.2%	208	$3K
1126F		1.1%	4,684	$3K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.1%	166	$3K
99203	Doctor's office visit, new patient (routine)	<1%	176	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	554	$2K
1125F		<1%	2,600	$2K
90674		<1%	207	$2K
36415	Collection of venous blood by venipuncture	<1%	3,009	$2K
99385		<1%	96	$2K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	2,121	$2K
3077F		<1%	475	$1K
99441		<1%	158	$1K
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	<1%	2,355	$1K
99386		<1%	66	$897.92
G9820	Documentation of a chlamydia screening test with proper follow-up	<1%	1,958	$735.50
H0001	Alcohol and/or drug assessment	<1%	1,950	$724.82
99407		<1%	44	$555.82
1159F		<1%	7,280	$516.00
G8754	Most recent diastolic blood pressure < 90 mmhg	<1%	7,649	$481.00
1160F		<1%	7,288	$466.00
G8752	Most recent systolic blood pressure < 140 mmhg	<1%	7,276	$452.00
G0443	Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes	<1%	20	$353.04
G9275	Documentation that patient is a current non-tobacco user	<1%	2,653	$349.00
3048F		<1%	286	$260.00
90756		<1%	22	$237.58
99232	Hospital visit by a doctor, follow-up day	<1%	20	$207.30
G9507	Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period, active liver disease, rhabdomyolysis, end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period, woman of child-bearing age not actively taking birth control, allergy to statin, drug interaction (hiv protease inhibitors, nefazodone, cyclosporine, gemfibrozil, and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs)	<1%	2,114	$178.00
G9664	Patients who are currently statin therapy users or received an order (prescription) for statin therapy	<1%	1,664	$160.00
82270		<1%	87	$142.68
3049F		<1%	117	$120.00
3044F		<1%	980	$110.00
99406		<1%	13	$101.52
G8731	Pain assessment using a standardized tool is documented as negative, no follow-up plan required	<1%	2,288	$63.00
3050F		<1%	33	$60.00
3080F		<1%	21	$48.00
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	13	$46.80
97803		<1%	35	$32.25
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	5,374	$30.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	<1%	1,442	$27.00
G8404	Lower extremity neurological exam performed and documented	<1%	2,845	$18.00
96127		<1%	21	$13.70
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	1,102	$9.00
G8598	Aspirin or another antiplatelet therapy used	<1%	716	$9.00
3008F		<1%	7,998	$2.08
H0002	Behavioral health screening to determine eligibility for admission to treatment program	<1%	59	$0.02
2022F		<1%	12	$0.01
1000F		0%	3,145	$0.00
1036F		0%	2,620	$0.00
2010F		0%	8,247	$0.00
4000F		0%	565	$0.00
99000		0%	1,301	$0.00
99429		0%	154	$0.00
90656		0%	39	$0.00
G8755	Most recent diastolic blood pressure >= 90 mmhg	0%	90	$0.00
G9667	Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g., patient with adverse effect, allergy or intolerance to statin medication therapy, patients who have an active diagnosis of pregnancy or who are breastfeeding, patients who are receiving palliative care, patients with active liver disease or hepatic disease or insufficiency, patients with end stage renal disease (esrd), and patients with diabetes who have a fasting or direct ldl-c laboratory test result < 70 mg/dl and are not taking statin therapy)	0%	13	$0.00
G8418	Bmi is documented below normal parameters and a follow-up plan is documented	0%	12	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	424	$0.00
1494F		0%	1,172	$0.00
1090F		0%	1,176	$0.00
3725F		0%	2,526	$0.00
2028F		0%	3,623	$0.00
99072		0%	1,115	$0.00
G9276	Documentation that patient is a current tobacco user	0%	181	$0.00
3016F		0%	2,454	$0.00
4001F		0%	494	$0.00
4004F		0%	62	$0.00
1032F		0%	135	$0.00
0518F		0%	453	$0.00
G9621	Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling	0%	53	$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.