Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Nirav Patel Medical PC

Nirav Patel Medical PC was paid $142K by Medicaid between Jul 2020 and Oct 2024, across 10 billing codes. Its largest line is 93970, — 33% of everything it billed.

33Billing provider infoNIRAV PATEL MEDICAL PC
NEW YORK, NY 10017
33aNPI1881088300assigned 03/23/2015
28Total paid$142K
24GClaims1,110
24DCodes billed10
24AFirst – last monthJul 2020 – Oct 2024
Compared with peers

Next to other Vascular Surgery Physician providers in New York

Rank by total paid#28 of 203
Median peer was paid$9K
This provider vs. median16×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2020221$40K
2021690$81K
202297$12K
202312$2K
2024incomplete90$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93970 33% 438 434 $47K
36475 18% 24 14 $26K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13% 165 165 $19K
93925 12% 152 149 $17K
36465 12% 15 12 $16K
93971 4.9% 106 79 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.5% 72 71 $5K
93922 1.9% 54 52 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 15 15 $823.59
93923 <1% 69 69 $579.98

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, NIRAV (OWNER)
Same official

Other billing entities under PATEL, NIRAV

Full network →
ProviderLocationPaid
Caresquare of Florida LLCDelray Beach, FL$2.98M
American Medical Clinics LLCTampa, FL$82K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.