Patel, Sunil

Patel, Sunil was paid $11K by Medicaid between Oct 2022 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoPATEL, SUNIL
WORMLEYSBURG, PA 17043

33aNPI1730482613assigned 12/14/2010

33bProvider typePediatric Cardiology Physician

28Total paid$11K

24GClaims404

24DCodes billed5

24AFirst – last monthOct 2022 – Nov 2024

Compared with peers

Next to other Pediatric Cardiology Physician providers in Pennsylvania

Rank by total paid#26 of 43

Median peer was paid$20K

This provider vs. median0.5×

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
2022	41	$638.48
2023	159	$4K
2024incomplete	204	$6K

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	70%	158	156	$7K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	14%	28	27	$1K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	6.5%	84	79	$693.75
93000		5.7%	38	38	$607.58
93325		3.4%	96	90	$364.45

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.