Physician
Nilesh Patel, MD, PC
Nilesh Patel, MD, PC was paid $2.67M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 31231, — 34% of everything it billed.
33Billing provider infoNILESH PATEL, MD, PC
NEW YORK, NY 10016
NEW YORK, NY 10016
33aNPI1760601827assigned 04/25/2007
33bProvider typeOtolaryngology Physician
28Total paid$2.67M
24GClaims48,824
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Otolaryngology Physician providers in New York
Rank by total paid#8 of 302
Median peer was paid$10K
This provider vs. median264×
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 | 1,720 | $188K | |
| 2019 | 1,733 | $210K | |
| 2020 | 1,972 | $209K | |
| 2021 | 7,377 | $442K | |
| 2022 | 11,035 | $522K | |
| 2023 | 14,047 | $644K | |
| 2024incomplete | 10,940 | $459K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 31231 | 34% | 4,584 | 4,532 | $910K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 24% | 5,741 | 5,738 | $634K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 7,414 | 7,003 | $610K |
| 31575 | 6.1% | 1,315 | 1,307 | $163K | |
| 69210 | 2.9% | 1,815 | 1,807 | $78K | |
| 99243 | 2.9% | 620 | 620 | $78K | |
| 92588 | 2.7% | 2,043 | 2,042 | $72K | |
| 92552 | 2.4% | 2,081 | 2,079 | $64K | |
| 92570 | 2.4% | 2,185 | 2,182 | $64K | |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | <1% | 12 | 12 | $763.08 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,065 | 2,821 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 7,973 | 7,292 | $0.00 |
11 more codes
| G0029 | Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period | 0% | 76 | $0.00 |
| 4004F | 0% | 294 | $0.00 | |
| G9905 | Patient not screened for tobacco use | 0% | 13 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 477 | $0.00 |
| 1036F | 0% | 4,847 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 3,994 | $0.00 |
| G2181 | Bmi not documented due to medical reason or patient refusal of height or weight measurement | 0% | 152 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 42 | $0.00 |
| G9364 | Sinusitis caused by, or presumed to be caused by, bacterial infection | 0% | 27 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 14 | $0.00 |
| G9315 | Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis | 0% | 40 | $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, NILESH (MD)
| Provider | Location | Paid |
|---|---|---|
| Artemis of Arizona LLC | Phoenix, AZ | $11.08M |
| Nilesh N. Patel MD INC | Glendora, CA | $175K |
| My Home Doc LLC | Phoenix, AZ | $141K |
| Millgrove Medical Center INC | Audubon, PA | $131K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.