Physician
Patel Medical Center PLLC
Patel Medical Center PLLC was paid $2.03M by Medicaid between Jan 2018 and Nov 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoPATEL MEDICAL CENTER PLLC
IRVINGTON, KY 40146
IRVINGTON, KY 40146
33aNPI1871994020assigned 09/08/2014
33bProvider typeFamily Medicine Physician
28Total paid$2.03M
24GClaims68,067
24DCodes billed48
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Kentucky
Rank by total paid#39 of 352
Median peer was paid$90K
This provider vs. median23×
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 | 10,809 | $307K | |
| 2019 | 10,100 | $281K | |
| 2020 | 8,643 | $267K | |
| 2021 | 10,041 | $329K | |
| 2022 | 9,850 | $326K | |
| 2023 | 8,877 | $269K | |
| 2024incomplete | 9,747 | $248K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58% | 37,934 | 31,217 | $1.17M |
| 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 | 15% | 6,759 | 5,995 | $308K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 5.9% | 1,487 | 1,313 | $119K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 5.3% | 2,971 | 2,656 | $107K |
| 99408 | 3.0% | 2,358 | 2,153 | $60K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.9% | 731 | 650 | $58K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.8% | 984 | 887 | $36K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 405 | 364 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 405 | 363 | $25K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.1% | 3,721 | 3,211 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 1,711 | 1,557 | $23K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 409 | 375 | $18K |
36 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 986 | $10K |
| 95117 | <1% | 955 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 440 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 215 | $5K |
| 90686 | <1% | 291 | $4K | |
| 99307 | <1% | 938 | $3K | |
| 90688 | <1% | 238 | $3K | |
| 99219 | <1% | 43 | $2K | |
| 99429 | <1% | 29 | $2K | |
| 90756 | <1% | 64 | $1K | |
| 0064A | <1% | 37 | $1K | |
| 91320 | <1% | 76 | $786.60 | |
| 0004A | <1% | 71 | $566.24 | |
| 81002 | <1% | 375 | $468.31 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 126 | $430.10 |
| 83037 | <1% | 50 | $369.49 | |
| 99051 | <1% | 242 | $314.25 | |
| 90656 | <1% | 12 | $248.45 | |
| 0124A | <1% | 12 | $110.00 | |
| 82947 | <1% | 34 | $97.06 | |
| 99318 | <1% | 18 | $87.54 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 26 | $42.35 |
| 90480 | <1% | 28 | $40.00 | |
| 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) | <1% | 100 | $33.43 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 222 | $20.65 |
| 3044F | <1% | 151 | $20.00 | |
| 91300 | <1% | 91 | $0.02 | |
| 3078F | 0% | 840 | $0.00 | |
| 91312 | 0% | 12 | $0.00 | |
| 888888 | 0% | 35 | $0.00 | |
| 3079F | 0% | 164 | $0.00 | |
| 3075F | 0% | 411 | $0.00 | |
| 3074F | 0% | 789 | $0.00 | |
| 91306 | 0% | 36 | $0.00 | |
| 36416 | 0% | 22 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $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, SAAGAR (PHYSICIAN)