Hemant G Patel MD PA
Hemant G Patel MD PA was paid $1.16M by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 26% of everything it billed.
33Billing provider infoHEMANT G PATEL MD PA
NEWARK, NJ 07106
NEWARK, NJ 07106
33aNPI1841245081assigned 05/24/2006
33bProvider typeSpecialist
28Total paid$1.16M
24GClaims61,005
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#50 of 378
Median peer was paid$63K
This provider vs. median19×
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 | 1,889 | $31K | |
| 2019 | 5,554 | $91K | |
| 2020 | 10,267 | $220K | |
| 2021 | 10,685 | $206K | |
| 2022 | 11,859 | $185K | |
| 2023 | 12,229 | $224K | |
| 2024incomplete | 8,522 | $204K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 26% | 16,919 | 3,242 | $300K |
| 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 | 16% | 8,208 | 7,476 | $191K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 12,866 | 3,408 | $165K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.3% | 2,935 | 2,726 | $97K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 4,140 | 3,888 | $92K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 6.3% | 2,462 | 1,429 | $73K |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.9% | 2,490 | 2,314 | $57K |
| 99401 | 3.9% | 2,888 | 2,702 | $45K | |
| 99307 | 3.6% | 2,778 | 2,215 | $42K | |
| 99254 | 2.8% | 233 | 223 | $32K | |
| 99223 | Prolong inpt eval add15 m | 1.6% | 954 | 907 | $19K |
| 99253 | <1% | 47 | 47 | $11K |
22 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 180 | $8K |
| 99305 | <1% | 139 | $7K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 55 | $5K |
| 99490 | Ccm add 20min | <1% | 861 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,256 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 131 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 188 | $2K |
| 90688 | <1% | 132 | $2K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 237 | $2K |
| 99404 | <1% | 15 | $857.76 | |
| 90685 | <1% | 47 | $683.67 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $666.68 |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 104 | $363.13 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 76 | $352.00 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $279.87 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 80 | $148.04 |
| 99439 | <1% | 54 | $114.98 | |
| 99407 | <1% | 16 | $46.79 | |
| 99072 | <1% | 445 | $7.50 | |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 13 | $0.00 |
| 90662 | 0% | 12 | $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, HEMANTKUMAR (OWNER)