Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › NEW YORK › HEMANT PATEL MD PC

HEMANT PATEL MD PC

NPI: 1750304978 · NEW YORK, NY 10027 · Internal Medicine Physician · NPI assigned 07/26/2006

$4.45M
Total Medicaid Paid
278,952
Total Claims
254,164
Beneficiaries
133
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPATEL, HEMANT (SOLE PROPRIETER)
NPI Enumeration Date07/26/2006

Related Entities

Other providers sharing the same authorized official: PATEL, HEMANT

ProviderCityStateTotal Paid
HARLEM MEDICAL GROUP, PC BRONX NY $5.06M
REBOUND REHABILITATIVE SERVICES INC ST. AUGUSTINE FL $67K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 43,028 $523K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30,112 25,379 $1.53M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,302 14,351 $1.15M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,715 2,703 $497K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,288 3,282 $240K
93923 1,408 1,406 $122K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 335 335 $104K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,376 1,376 $94K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,381 2,160 $64K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,804 3,716 $53K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 6,548 6,528 $53K
93000 3,759 3,730 $51K
93351 255 251 $49K
90686 2,643 2,632 $49K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 296 296 $41K
G0444 Annual depression screening, 5 to 15 minutes 6,505 6,477 $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 2,918 2,910 $32K
93015 431 431 $30K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 3,318 3,270 $30K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 3,075 3,058 $28K
99443 709 661 $23K
36415 Collection of venous blood by venipuncture 14,054 13,602 $17K
3074F 9,183 8,109 $13K
3078F 8,387 7,435 $12K
99215 Prolong outpt/office vis 123 123 $11K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 334 334 $10K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 105 105 $10K
99442 387 374 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 676 620 $7K
3079F 4,704 4,370 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 100 99 $6K
99244 Office or other outpatient consultation, moderate to high complexity 47 46 $6K
99406 588 583 $5K
91322 104 103 $5K
0013A 121 121 $5K
82947 1,793 1,624 $4K
3075F 2,294 2,185 $4K
3077F 2,747 2,480 $3K
90656 186 186 $3K
99386 24 24 $2K
90480 104 103 $2K
0012A 50 49 $2K
99385 29 29 $2K
99487 Ccm add 20min 39 39 $2K
90746 30 30 $2K
0011A 44 44 $2K
99497 102 100 $2K
H0049 Alcohol and/or drug screening 70 70 $2K
3080F 1,089 1,024 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 208 191 $1K
99490 Ccm add 20min 64 64 $1K
3044F 5,739 5,428 $920.31
0134A 27 27 $827.11
94664 64 63 $587.22
90472 Immunization administration, each additional vaccine (list separately) 24 24 $436.30
90756 33 33 $423.86
1159F 7,230 6,371 $405.00
1160F 7,187 6,332 $400.00
S9441 Asthma education, non-physician provider, per session 58 56 $392.52
90658 26 26 $372.52
1125F 5,862 5,169 $323.06
90679 37 37 $295.04
96127 100 100 $280.65
2022F 662 631 $270.00
1170F 1,704 1,485 $250.00
1126F 4,621 4,245 $247.07
3008F 19,193 16,271 $229.13
3048F 3,070 2,916 $224.94
98960 34 34 $108.35
99429 45 44 $69.25
3052F 61 56 $60.00
3049F 1,337 1,267 $56.03
3046F 93 83 $40.00
3051F 84 81 $40.00
J1885 Injection, ketorolac tromethamine, per 15 mg 142 127 $31.72
G0008 Administration of influenza virus vaccine 143 143 $19.76
82962 44 38 $11.04
3050F 929 873 $8.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 316 289 $0.87
91301 278 273 $0.69
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 685 614 $0.35
G8510 Screening for depression is documented as negative, a follow-up plan is not required 184 175 $0.17
91313 16 16 $0.13
90750 14 14 $0.12
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 14 14 $0.02
4010F 1,493 1,356 $0.02
99408 13 13 $0.01
3014F 2,897 2,545 $0.01
4086F 1,812 1,632 $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) 186 185 $0.01
4013F 2,402 2,166 $0.00
4004F 748 742 $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) 1,770 1,607 $0.00
0518F 1,252 1,073 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 817 757 $0.00
1100F 1,332 1,138 $0.00
1158F 1,579 1,399 $0.00
G8482 Influenza immunization administered or previously received 2,346 2,243 $0.00
3288F 1,370 1,180 $0.00
3016F 12,589 10,923 $0.00
3015F 3,151 2,791 $0.00
1091F 978 878 $0.00
4040F 1,374 1,266 $0.00
1090F 1,450 1,331 $0.00
G9383 Patient received screening for hcv infection within the 12 month reporting period 253 253 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 50 47 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 575 572 $0.00
G9451 Patient received one-time screening for hcv infection 617 615 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 590 522 $0.00
G8598 Aspirin or another antiplatelet therapy used 188 168 $0.00
G8864 Pneumococcal vaccine administered or previously received 60 53 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 100 87 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 63 56 $0.00
99001 21 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 36 36 $0.00
99499 56 45 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 26 26 $0.00
4037F 5,678 5,080 $0.00
0509F 952 854 $0.00
1036F 11,125 9,730 $0.00
3017F 5,089 4,542 $0.00
4008F 670 606 $0.00
3351F 6,370 5,997 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 207 182 $0.00
3353F 726 663 $0.00
1034F 1,459 1,280 $0.00
G9459 Currently a tobacco non-user 748 647 $0.00
1123F 1,602 1,539 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 899 766 $0.00
G8599 Aspirin or another antiplatelet therapy not used, reason not given 74 74 $0.00
1157F 1,580 1,400 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 313 263 $0.00
3354F 180 177 $0.00
G9453 Documentation of patient reason(s) for not receiving one-time screening for hcv infection (e.g., patient declined, other patient reasons) 66 65 $0.00