Physician
Patel, Niravkumar
Patel, Niravkumar was paid $56K by Medicaid between Dec 2021 and Mar 2023, across 5 billing codes. Its largest line is 87637, Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV — 41% of everything it billed.
33Billing provider infoPATEL, NIRAVKUMAR
LEXINGTON, MA 02420
LEXINGTON, MA 02420
33aNPI1710387915assigned 08/26/2014
33bProvider typeInternal Medicine Physician
28Total paid$56K
24GClaims512
24DCodes billed5
24AFirst – last monthDec 2021 – Mar 2023
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#307 of 1,270
Median peer was paid$8K
This provider vs. median6.7×
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 | |
|---|---|---|---|
| 2021 | 20 | $1K | |
| 2022 | 273 | $31K | |
| 2023 | 219 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 41% | 161 | 158 | $23K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 28% | 121 | 121 | $15K |
| 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 | 26% | 139 | 135 | $14K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.2% | 46 | 46 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 45 | 45 | $656.10 |
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.