Physician
Patel Medical Clinic, PLLC
Patel Medical Clinic, PLLC was paid $464K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
33Billing provider infoPATEL MEDICAL CLINIC, PLLC
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
33aNPI1720303563assigned 04/05/2010
33bProvider typeInternal Medicine Physician
28Total paid$464K
24GClaims16,341
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Arizona
Rank by total paid#91 of 395
Median peer was paid$68K
This provider vs. median6.8×
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 | 1,213 | $45K | |
| 2019 | 1,688 | $60K | |
| 2020 | 1,697 | $63K | |
| 2021 | 3,708 | $101K | |
| 2022 | 3,685 | $86K | |
| 2023 | 2,731 | $61K | |
| 2024incomplete | 1,619 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 67% | 6,614 | 5,174 | $311K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 2,482 | 1,995 | $91K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.3% | 621 | 529 | $34K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.6% | 1,227 | 971 | $12K |
| 0064A | <1% | 69 | 69 | $4K | |
| 0012A | <1% | 133 | 132 | $4K | |
| 0011A | <1% | 138 | 130 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 126 | 123 | $2K |
| 0124A | <1% | 29 | 29 | $1K | |
| 90686 | <1% | 115 | 104 | $1K | |
| 90756 | <1% | 22 | 20 | $277.37 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 101 | 87 | $108.78 |
12 more codes
| 90694 | <1% | 13 | $101.25 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $68.60 |
| G0008 | Administration of influenza virus vaccine | <1% | 64 | $51.99 |
| 4010F | 0% | 114 | $0.00 | |
| 91301 | 0% | 103 | $0.00 | |
| 3074F | 0% | 161 | $0.00 | |
| 1125F | 0% | 28 | $0.00 | |
| 91306 | 0% | 30 | $0.00 | |
| 3079F | 0% | 28 | $0.00 | |
| 1160F | 0% | 2,016 | $0.00 | |
| 1159F | 0% | 2,025 | $0.00 | |
| 3078F | 0% | 70 | $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, SANTSARAN (PRESIDENT/CEO)