Medicaid Provider Spending

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

HEMANT G PATEL MD PA

NPI: 1841245081 · NEWARK, NJ 07106 · Specialist · NPI assigned 05/24/2006

$1.16M
Total Medicaid Paid
61,005
Total Claims
34,541
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPATEL, HEMANTKUMAR (OWNER)
NPI Enumeration Date05/24/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 8,522 $204K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99231 Subsequent hospital care, per day, straightforward or low complexity 16,919 3,242 $300K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,208 7,476 $191K
99232 Subsequent hospital care, per day, moderate complexity 12,866 3,408 $165K
99222 Initial hospital care, per day, moderate complexity 2,935 2,726 $97K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,140 3,888 $92K
99308 Subsequent nursing facility care, per day, straightforward 2,462 1,429 $73K
99238 Hospital discharge day management, 30 minutes or less 2,490 2,314 $57K
99401 2,888 2,702 $45K
99307 2,778 2,215 $42K
99254 233 223 $32K
99223 Prolong inpt eval add15 m 954 907 $19K
99253 47 47 $11K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 180 178 $8K
99305 139 134 $7K
99244 Office or other outpatient consultation, moderate to high complexity 55 55 $5K
99490 Ccm add 20min 861 851 $4K
36415 Collection of venous blood by venipuncture 1,256 1,225 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 131 128 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 188 187 $2K
90688 132 132 $2K
G0444 Annual depression screening, 5 to 15 minutes 237 234 $2K
99404 15 15 $857.76
90685 47 46 $683.67
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 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)). 104 104 $363.13
99233 Prolong inpt eval add15 m 76 31 $352.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 16 $279.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 80 78 $148.04
99439 54 54 $114.98
99407 16 16 $46.79
99072 445 428 $7.50
G0008 Administration of influenza virus vaccine 14 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) 13 12 $0.00
90662 12 12 $0.00