Medicaid Provider Spending

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

GAURANG PATEL MD LLC

NPI: 1881965184 · AVENEL, NJ 07001 · Pediatrics Physician · NPI assigned 01/18/2012

$5.32M
Total Medicaid Paid
171,597
Total Claims
161,283
Beneficiaries
64
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATEL, GAURANG (OWNER OF GAURANG PATEL MD LLC)
NPI Enumeration Date01/18/2012

Related Entities

Other providers sharing the same authorized official: PATEL, GAURANG

ProviderCityStateTotal Paid
BEECHMONT DENTAL DR. PATEL, INC. CINCINNATI OH $243K
G PATEL MD PA MELBOURNE FL $28K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,507 $695K
2019 17,083 $633K
2020 13,755 $399K
2021 19,187 $562K
2022 36,722 $1.05M
2023 39,802 $1.17M
2024 26,541 $808K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,447 36,200 $1.89M
90460 Immunization administration through 18 years of age via any route, first or only component 23,733 22,856 $621K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,838 8,270 $602K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,666 4,606 $376K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,173 4,100 $342K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,294 3,240 $288K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,668 3,499 $268K
96110 Developmental screening, with scoring and documentation, per standardized instrument 9,515 9,277 $143K
92587 6,555 6,337 $110K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,541 2,378 $91K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,373 3,572 $81K
90461 5,152 4,927 $73K
90651 849 766 $63K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,572 5,119 $46K
92558 5,717 5,592 $36K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,287 1,237 $35K
90734 498 470 $21K
90677 163 163 $19K
90686 4,350 4,165 $18K
90620 305 265 $14K
0071A 343 333 $13K
99177 5,076 4,989 $13K
90716 597 541 $13K
90670 754 701 $13K
0072A 288 280 $11K
3008F 9,757 9,282 $11K
90674 469 460 $9K
99174 2,532 2,405 $9K
92551 1,148 1,107 $7K
90661 670 652 $7K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 250 231 $7K
90700 1,874 1,758 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 396 386 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 72 65 $6K
90688 343 343 $5K
90707 463 416 $5K
96127 1,716 1,639 $5K
0001A 127 126 $5K
90713 1,329 1,237 $5K
90633 694 645 $4K
0002A 105 105 $4K
90715 329 288 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 50 50 $3K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 19 18 $2K
99173 779 770 $2K
90680 162 157 $1K
90648 993 929 $1K
90671 12 12 $1K
90656 229 229 $1K
90685 38 38 $622.19
0081A 23 17 $560.00
90744 204 193 $528.36
0004A 13 13 $520.00
90472 Immunization administration, each additional vaccine (list separately) 29 29 $338.72
99051 334 327 $332.04
92015 Determination of refractive state 16 16 $240.88
87807 28 28 $216.86
36416 227 224 $138.60
91307 579 521 $111.00
91300 229 210 $30.00
99050 12 12 $28.26
91308 27 19 $5.00
99072 2,524 2,411 $0.00
91305 42 32 $0.00