Patel, Nilesh

Patel, Nilesh was paid $416K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 31231, — 35% of everything it billed.

33Billing provider infoPATEL, NILESH
NEW YORK, NY 10017

33aNPI1760597785assigned 08/20/2006

33bProvider typeOtolaryngology Physician

28Total paid$416K

24GClaims5,788

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Otolaryngology Physician providers in New York

Rank by total paid#42 of 302

Median peer was paid$10K

This provider vs. median41×

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	1,039	$94K
2019	1,417	$124K
2020	1,668	$127K
2021	731	$45K
2022	112	$5K
2023	244	$7K
2024incomplete	577	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
31231		35%	930	898	$144K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	33%	1,692	1,690	$136K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	1,879	1,785	$93K
31575		5.3%	250	249	$22K
92588		1.8%	255	255	$7K
92570		1.5%	283	282	$6K
92552		1.3%	264	264	$6K
69210		<1%	80	80	$2K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	99	96	$0.00
1036F		0%	56	55	$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.