Physician
Kiritkumar B Patel MD INC
Kiritkumar B Patel MD INC was paid $3.02M by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 39% of everything it billed.
33Billing provider infoKIRITKUMAR B PATEL MD INC
MODESTO, CA 95350
MODESTO, CA 95350
33aNPI1750487021assigned 09/15/2006
33bProvider typePulmonary Disease Physician
28Total paid$3.02M
24GClaims18,875
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in California
Rank by total paid#7 of 225
Median peer was paid$53K
This provider vs. median57×
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 | 2,597 | $367K | |
| 2019 | 2,114 | $264K | |
| 2020 | 2,662 | $421K | |
| 2021 | 2,490 | $350K | |
| 2022 | 2,332 | $391K | |
| 2023 | 3,393 | $605K | |
| 2024incomplete | 3,287 | $628K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 39% | 1,696 | 1,688 | $1.18M |
| 95811 | 38% | 1,687 | 1,679 | $1.14M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 8,203 | 8,101 | $248K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.8% | 2,423 | 2,420 | $175K |
| 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 | 3.4% | 2,083 | 2,071 | $103K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.7% | 896 | 895 | $82K |
| E0601 | Continuous positive airway pressure (cpap) device | 2.3% | 896 | 890 | $70K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 928 | 921 | $22K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 27 | 27 | $381.46 |
| A7037 | Tubing used with positive airway pressure device | <1% | 12 | 12 | $375.84 |
| A7035 | Headgear used with positive airway pressure device | <1% | 12 | 12 | $364.33 |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 12 | 12 | $86.92 |
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, KIRITKUMAR (OWNER)
| Provider | Location | Paid |
|---|---|---|
| East Bay Sleep Medical Center | Hayward, CA | $1.22M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.