Patel, Nirav

Patel, Nirav was paid $83K by Medicaid between Jan 2018 and Nov 2020, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoPATEL, NIRAV
JACKSON, TN 38305

33aNPI1790907418assigned 05/03/2007

33bProvider typeCardiovascular Disease Physician

28Total paid$83K

24GClaims4,440

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Cardiovascular Disease Physician providers in Tennessee

Rank by total paid#35 of 136

Median peer was paid$21K

This provider vs. median3.9×

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	1,236	$20K
2019	1,190	$20K
2020	2,014	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	49%	2,136	2,038	$40K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	11%	530	245	$9K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	8.3%	78	73	$7K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	6.7%	217	211	$6K
93325		5.7%	164	151	$5K
93308		5.5%	171	160	$5K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	3.5%	684	662	$3K
93321		2.4%	160	148	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.2%	110	106	$2K
A9502	Technetium tc-99m tetrofosmin, diagnostic, per study dose	1.4%	15	15	$1K
93458		1.4%	13	13	$1K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	56	29	$820.26

4 more codes

93015		<1%	12	$573.72
93018		<1%	69	$443.65
99223	Prolong inpt eval add15 m	<1%	12	$313.64
J1245	Injection, dipyridamole, per 10 mg	<1%	13	$80.24

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.