Patel, Prafullkumar

Patel, Prafullkumar was paid $34K by Medicaid between Jan 2020 and Oct 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.

33Billing provider infoPATEL, PRAFULLKUMAR
BROOKLYN PARK, MD 21225

33aNPI1750302154assigned 07/21/2006

33bProvider typeInternal Medicine Physician

28Total paid$34K

24GClaims3,484

24DCodes billed8

24AFirst – last monthJan 2020 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Maryland

Rank by total paid#305 of 501

Median peer was paid$77K

This provider vs. median0.4×

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
2020	1,074	$11K
2021	957	$10K
2022	827	$8K
2023	548	$5K
2024incomplete	78	$255.19

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	80%	495	374	$28K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	9.6%	1,560	1,130	$3K
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	3.7%	16	13	$1K
1036F		3.3%	770	611	$1K
G8754	Most recent diastolic blood pressure < 90 mmhg	2.8%	164	142	$976.34
3074F		<1%	131	108	$80.00
G8752	Most recent systolic blood pressure < 140 mmhg	<1%	149	125	$9.50
3078F		0%	199	164	$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.