Lopa M Patel, LLC

Lopa M Patel, LLC was paid $26K by Medicaid between Sep 2019 and Oct 2024, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 84% of everything it billed.

33Billing provider infoLOPA M PATEL, LLC
MONTCLAIR, NJ 07042

33aNPI1801163738assigned 11/21/2011

33bProvider typePulmonary Disease Physician

28Total paid$26K

24GClaims2,175

24DCodes billed4

24AFirst – last monthSep 2019 – Oct 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in New Jersey

Rank by total paid#56 of 112

Median peer was paid$24K

This provider vs. median1.1×

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
2019	38	$896.50
2020	172	$3K
2021	417	$8K
2022	658	$9K
2023	579	$2K
2024incomplete	311	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	84%	1,877	777	$22K
99222	Initial hospital care, per day, moderate complexity	11%	215	195	$3K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	4.2%	69	33	$1K
99223	Prolong inpt eval add15 m	<1%	14	14	$167.06

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, LOPA (MD)