Physician
Ajay T Patel MD INC
Ajay T Patel MD INC was paid $270K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoAJAY T PATEL MD INC
SAINT ALBANS, WV 25177
SAINT ALBANS, WV 25177
33aNPI1710029715assigned 02/13/2007
33bProvider typeInternal Medicine Physician
28Total paid$270K
24GClaims8,963
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in West Virginia
Rank by total paid#19 of 96
Median peer was paid$24K
This provider vs. median11×
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 | 2,147 | $64K | |
| 2019 | 755 | $18K | |
| 2020 | 1,418 | $38K | |
| 2021 | 1,323 | $37K | |
| 2022 | 1,180 | $43K | |
| 2023 | 1,153 | $37K | |
| 2024incomplete | 987 | $33K |
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 | 42% | 3,263 | 2,620 | $112K |
| 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 | 40% | 2,319 | 1,974 | $108K |
| 99406 | 4.4% | 1,376 | 1,105 | $12K | |
| 93000 | 3.0% | 449 | 398 | $8K | |
| 93040 | 2.8% | 443 | 392 | $7K | |
| 81000 | 2.3% | 263 | 229 | $6K | |
| 36415 | Collection of venous blood by venipuncture | 2.1% | 251 | 224 | $6K |
| 99401 | 1.5% | 97 | 77 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 131 | 112 | $3K |
| 99497 | <1% | 20 | 20 | $1K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 230 | 199 | $570.10 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 19 | 19 | $561.98 |
4 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $457.50 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 20 | $456.06 |
| 80305 | <1% | 47 | $146.21 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 23 | $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.
From NPPES
Who's on the registration
Authorized officialPATEL, AJAY (MEDICAL DOCTOR)
| Provider | Location | Paid |
|---|---|---|
| Sewa Adult Day Care LLC | Edison, NJ | $26.34M |
| Sunrise Community Services LLC | North Brunswick, NJ | $5.91M |
| Ajay Patel, MD a Professional Medical Corporation | Downey, CA | $3.91M |
| Er Care of CFL LLC | Orlando, FL | $40K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.