Physician
Patel, Nirupama
Patel, Nirupama was paid $2.26M by Medicaid between Aug 2018 and Dec 2024, across 66 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 13% of everything it billed.
33Billing provider infoPATEL, NIRUPAMA
ALICE, TX 78332
ALICE, TX 78332
33aNPI1831156975assigned 05/01/2006
33bProvider typePediatrics Physician
28Total paid$2.26M
24GClaims126,438
24DCodes billed66
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#216 of 1,136
Median peer was paid$329K
This provider vs. median6.9×
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 | 29 | $227.36 | |
| 2019 | 70 | $2K | |
| 2020 | 4,200 | $68K | |
| 2021 | 31,037 | $464K | |
| 2022 | 37,737 | $654K | |
| 2023 | 30,111 | $597K | |
| 2024incomplete | 23,254 | $476K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 3,265 | 3,235 | $304K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 24,081 | 20,093 | $275K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,921 | 2,902 | $260K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 2,587 | 2,561 | $256K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.6% | 16,326 | 8,174 | $195K |
| 87428 | 7.7% | 2,383 | 2,262 | $175K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.6% | 1,766 | 1,729 | $150K |
| 99050 | 5.2% | 1,341 | 1,299 | $117K | |
| 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 | 4.8% | 5,913 | 5,474 | $109K |
| S8301 | Infection control supplies, not otherwise specified | 4.5% | 24,024 | 19,397 | $101K |
| 99429 | 4.2% | 2,560 | 2,542 | $95K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.5% | 1,317 | 1,261 | $56K |
54 more codes
| 97802 | 1.5% | 7,339 | $34K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 3,090 | $29K |
| 99381 | <1% | 173 | $15K | |
| 90461 | <1% | 3,648 | $13K | |
| 99051 | <1% | 1,654 | $12K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 114 | $11K |
| 0071A | <1% | 162 | $7K | |
| 0072A | <1% | 147 | $6K | |
| 96160 | <1% | 2,868 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 42 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,193 | $4K |
| 0001A | <1% | 125 | $4K | |
| 99000 | <1% | 811 | $4K | |
| 0002A | <1% | 99 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 44 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 386 | $2K |
| 90619 | <1% | 442 | $2K | |
| 0154A | <1% | 37 | $1K | |
| 0003A | <1% | 28 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 30 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 17 | $990.80 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 71 | $971.69 |
| 0081A | <1% | 19 | $696.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 155 | $444.65 |
| 90620 | <1% | 775 | $217.41 | |
| 92551 | <1% | 44 | $68.74 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 326 | $44.52 |
| 90688 | <1% | 2,867 | $38.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 17 | $14.66 |
| 81002 | <1% | 12 | $12.55 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | $0.26 |
| 90686 | <1% | 714 | $0.04 | |
| 90715 | <1% | 149 | $0.01 | |
| 90672 | <1% | 35 | $0.01 | |
| 90633 | 0% | 887 | $0.00 | |
| 90648 | 0% | 917 | $0.00 | |
| 90707 | 0% | 753 | $0.00 | |
| 90670 | 0% | 1,043 | $0.00 | |
| 91300 | 0% | 314 | $0.00 | |
| 90734 | 0% | 371 | $0.00 | |
| 90671 | 0% | 667 | $0.00 | |
| 99173 | 0% | 125 | $0.00 | |
| 90700 | 0% | 92 | $0.00 | |
| 90681 | 0% | 34 | $0.00 | |
| 90651 | 0% | 870 | $0.00 | |
| 90697 | 0% | 660 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 823 | $0.00 |
| 96127 | 0% | 147 | $0.00 | |
| 91315 | 0% | 37 | $0.00 | |
| 90680 | 0% | 866 | $0.00 | |
| 90716 | 0% | 772 | $0.00 | |
| 90723 | 0% | 487 | $0.00 | |
| 91307 | 0% | 364 | $0.00 | |
| 90696 | 0% | 79 | $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.