Physician
Hemant Patel MD PC
Hemant Patel MD PC was paid $4.45M by Medicaid between Jan 2018 and Nov 2024, across 133 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoHEMANT PATEL MD PC
NEW YORK, NY 10027
NEW YORK, NY 10027
33aNPI1750304978assigned 07/26/2006
33bProvider typeInternal Medicine Physician
28Total paid$4.45M
24GClaims278,952
24DCodes billed133
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#60 of 6,049
Median peer was paid$11K
This provider vs. median393×
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 | 21,665 | $590K | |
| 2019 | 25,047 | $587K | |
| 2020 | 24,725 | $508K | |
| 2021 | 51,066 | $770K | |
| 2022 | 56,872 | $746K | |
| 2023 | 56,549 | $722K | |
| 2024incomplete | 43,028 | $523K |
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 | 34% | 30,112 | 25,379 | $1.53M |
| 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% | 15,302 | 14,351 | $1.15M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 11% | 2,715 | 2,703 | $497K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.4% | 3,288 | 3,282 | $240K |
| 93923 | 2.7% | 1,408 | 1,406 | $122K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 2.3% | 335 | 335 | $104K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.1% | 1,376 | 1,376 | $94K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 2,381 | 2,160 | $64K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 3,804 | 3,716 | $53K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.2% | 6,548 | 6,528 | $53K |
| 93000 | 1.1% | 3,759 | 3,730 | $51K | |
| 93351 | 1.1% | 255 | 251 | $49K |
121 more codes
| 90686 | 1.1% | 2,643 | $49K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 296 | $41K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 6,505 | $39K |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | <1% | 2,918 | $32K |
| 93015 | <1% | 431 | $30K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 3,318 | $30K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 3,075 | $28K |
| 99443 | <1% | 709 | $23K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14,054 | $17K |
| 3074F | <1% | 9,183 | $13K | |
| 3078F | <1% | 8,387 | $12K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 123 | $11K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 334 | $10K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 105 | $10K |
| 99442 | <1% | 387 | $9K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 676 | $7K |
| 3079F | <1% | 4,704 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 100 | $6K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 47 | $6K |
| 99406 | <1% | 588 | $5K | |
| 91322 | <1% | 104 | $5K | |
| 0013A | <1% | 121 | $5K | |
| 82947 | <1% | 1,793 | $4K | |
| 3075F | <1% | 2,294 | $4K | |
| 3077F | <1% | 2,747 | $3K | |
| 90656 | <1% | 186 | $3K | |
| 99386 | <1% | 24 | $2K | |
| 90480 | <1% | 104 | $2K | |
| 0012A | <1% | 50 | $2K | |
| 99385 | <1% | 29 | $2K | |
| 99487 | Ccm add 20min | <1% | 39 | $2K |
| 90746 | <1% | 30 | $2K | |
| 0011A | <1% | 44 | $2K | |
| 99497 | <1% | 102 | $2K | |
| H0049 | Alcohol and/or drug screening | <1% | 70 | $2K |
| 3080F | <1% | 1,089 | $1K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 208 | $1K |
| 99490 | Ccm add 20min | <1% | 64 | $1K |
| 3044F | <1% | 5,739 | $920.31 | |
| 0134A | <1% | 27 | $827.11 | |
| 94664 | <1% | 64 | $587.22 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 24 | $436.30 |
| 90756 | <1% | 33 | $423.86 | |
| 1159F | <1% | 7,230 | $405.00 | |
| 1160F | <1% | 7,187 | $400.00 | |
| S9441 | Asthma education, non-physician provider, per session | <1% | 58 | $392.52 |
| 90658 | <1% | 26 | $372.52 | |
| 1125F | <1% | 5,862 | $323.06 | |
| 90679 | <1% | 37 | $295.04 | |
| 96127 | <1% | 100 | $280.65 | |
| 2022F | <1% | 662 | $270.00 | |
| 1170F | <1% | 1,704 | $250.00 | |
| 1126F | <1% | 4,621 | $247.07 | |
| 3008F | <1% | 19,193 | $229.13 | |
| 3048F | <1% | 3,070 | $224.94 | |
| 98960 | <1% | 34 | $108.35 | |
| 99429 | <1% | 45 | $69.25 | |
| 3052F | <1% | 61 | $60.00 | |
| 3049F | <1% | 1,337 | $56.03 | |
| 3046F | <1% | 93 | $40.00 | |
| 3051F | <1% | 84 | $40.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 142 | $31.72 |
| G0008 | Administration of influenza virus vaccine | <1% | 143 | $19.76 |
| 82962 | <1% | 44 | $11.04 | |
| 3050F | <1% | 929 | $8.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 316 | $0.87 |
| 91301 | <1% | 278 | $0.69 | |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | <1% | 685 | $0.35 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 184 | $0.17 |
| 91313 | <1% | 16 | $0.13 | |
| 90750 | <1% | 14 | $0.12 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 14 | $0.02 |
| 4010F | <1% | 1,493 | $0.02 | |
| 99408 | <1% | 13 | $0.01 | |
| 3014F | <1% | 2,897 | $0.01 | |
| 4086F | <1% | 1,812 | $0.01 | |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | <1% | 186 | $0.01 |
| 4013F | 0% | 2,402 | $0.00 | |
| 4004F | 0% | 748 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 1,770 | $0.00 |
| 0518F | 0% | 1,252 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 817 | $0.00 |
| 1100F | 0% | 1,332 | $0.00 | |
| 1158F | 0% | 1,579 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 2,346 | $0.00 |
| 3288F | 0% | 1,370 | $0.00 | |
| 3016F | 0% | 12,589 | $0.00 | |
| 3015F | 0% | 3,151 | $0.00 | |
| 1091F | 0% | 978 | $0.00 | |
| 4040F | 0% | 1,374 | $0.00 | |
| 1090F | 0% | 1,450 | $0.00 | |
| G9383 | Patient received screening for hcv infection within the 12 month reporting period | 0% | 253 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 50 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 575 | $0.00 |
| G9451 | Patient received one-time screening for hcv infection | 0% | 617 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 590 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 188 | $0.00 |
| G8864 | Pneumococcal vaccine administered or previously received | 0% | 60 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 100 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 63 | $0.00 |
| 99001 | 0% | 21 | $0.00 | |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 36 | $0.00 |
| 99499 | 0% | 56 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 26 | $0.00 |
| 4037F | 0% | 5,678 | $0.00 | |
| 0509F | 0% | 952 | $0.00 | |
| 1036F | 0% | 11,125 | $0.00 | |
| 3017F | 0% | 5,089 | $0.00 | |
| 4008F | 0% | 670 | $0.00 | |
| 3351F | 0% | 6,370 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 207 | $0.00 |
| 3353F | 0% | 726 | $0.00 | |
| 1034F | 0% | 1,459 | $0.00 | |
| G9459 | Currently a tobacco non-user | 0% | 748 | $0.00 |
| 1123F | 0% | 1,602 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 899 | $0.00 |
| G8599 | Aspirin or another antiplatelet therapy not used, reason not given | 0% | 74 | $0.00 |
| 1157F | 0% | 1,580 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 313 | $0.00 |
| 3354F | 0% | 180 | $0.00 | |
| G9453 | Documentation of patient reason(s) for not receiving one-time screening for hcv infection (e.g., patient declined, other patient reasons) | 0% | 66 | $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, HEMANT (SOLE PROPRIETER)
| Provider | Location | Paid |
|---|---|---|
| Harlem Medical Group, PC | Bronx, NY | $5.06M |
| Rebound Rehabilitative Services INC | St. Augustine, FL | $67K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.