Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NILESH PATEL, MD, PC

NPI: 1760601827 · NEW YORK, NY 10016 · Otolaryngology Physician · NPI assigned 04/25/2007

$2.67M
Total Medicaid Paid
48,824
Total Claims
46,681
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPATEL, NILESH (MD)
NPI Enumeration Date04/25/2007

Related Entities

Other providers sharing the same authorized official: PATEL, NILESH

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 10,940 $459K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
31231 4,584 4,532 $910K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,741 5,738 $634K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,414 7,003 $610K
31575 1,315 1,307 $163K
69210 1,815 1,807 $78K
99243 620 620 $78K
92588 2,043 2,042 $72K
92552 2,081 2,079 $64K
92570 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 12 12 $763.08
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 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 7,973 7,292 $0.00
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 76 74 $0.00
4004F 294 282 $0.00
G9905 Patient not screened for tobacco use 13 13 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 477 454 $0.00
1036F 4,847 4,457 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 3,994 3,694 $0.00
G2181 Bmi not documented due to medical reason or patient refusal of height or weight measurement 152 150 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 42 42 $0.00
G9364 Sinusitis caused by, or presumed to be caused by, bacterial infection 27 27 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 14 13 $0.00
G9315 Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis 40 40 $0.00