Physician
Patel Medical Consulting, LLC
Patel Medical Consulting, LLC was paid $174K by Medicaid between Sep 2018 and Dec 2024, across 10 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 71% of everything it billed.
33Billing provider infoPATEL MEDICAL CONSULTING, LLC
PALM CITY, FL 34990
PALM CITY, FL 34990
33aNPI1750887584assigned 04/02/2018
33bProvider typeFamily Medicine Physician
28Total paid$174K
24GClaims26,671
24DCodes billed10
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Florida
Rank by total paid#176 of 996
Median peer was paid$13K
This provider vs. median13×
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 | 283 | $594.22 | |
| 2019 | 2,727 | $11K | |
| 2020 | 6,618 | $37K | |
| 2021 | 3,753 | $35K | |
| 2022 | 3,853 | $14K | |
| 2023 | 4,921 | $66K | |
| 2024incomplete | 4,516 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 71% | 18,251 | 7,765 | $124K |
| 99306 | Prolong nursin fac eval 15m | 13% | 1,068 | 751 | $23K |
| 99310 | Prolong nursin fac eval 15m | 6.6% | 1,577 | 770 | $12K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.5% | 1,723 | 372 | $8K |
| 99356 | 3.7% | 3,218 | 1,647 | $6K | |
| 99305 | <1% | 54 | 41 | $871.22 | |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | <1% | 380 | 133 | $865.74 |
| 99358 | Prolong nursin fac eval 15m | 0% | 50 | 12 | $0.00 |
| G0408 | Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth | 0% | 17 | 14 | $0.00 |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) | 0% | 333 | 186 | $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, SHEERIN (OWNER)