Physician
Gaurang Patel MD LLC
Gaurang Patel MD LLC was paid $5.32M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoGAURANG PATEL MD LLC
AVENEL, NJ 07001
AVENEL, NJ 07001
33aNPI1881965184assigned 01/18/2012
33bProvider typePediatrics Physician
28Total paid$5.32M
24GClaims171,597
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New Jersey
Rank by total paid#29 of 549
Median peer was paid$154K
This provider vs. median35×
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 | 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 | |
| 2024incomplete | 26,541 | $808K |
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 | 36% | 40,447 | 36,200 | $1.89M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 23,733 | 22,856 | $621K |
| 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 | 11% | 8,838 | 8,270 | $602K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.1% | 4,666 | 4,606 | $376K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 4,173 | 4,100 | $342K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.4% | 3,294 | 3,240 | $288K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.0% | 3,668 | 3,499 | $268K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.7% | 9,515 | 9,277 | $143K |
| 92587 | 2.1% | 6,555 | 6,337 | $110K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 2,541 | 2,378 | $91K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 4,373 | 3,572 | $81K |
| 90461 | 1.4% | 5,152 | 4,927 | $73K |
52 more codes
| 90651 | 1.2% | 849 | $63K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,572 | $46K |
| 92558 | <1% | 5,717 | $36K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,287 | $35K |
| 90734 | <1% | 498 | $21K | |
| 90677 | <1% | 163 | $19K | |
| 90686 | <1% | 4,350 | $18K | |
| 90620 | <1% | 305 | $14K | |
| 0071A | <1% | 343 | $13K | |
| 99177 | <1% | 5,076 | $13K | |
| 90716 | <1% | 597 | $13K | |
| 90670 | <1% | 754 | $13K | |
| 0072A | <1% | 288 | $11K | |
| 3008F | <1% | 9,757 | $11K | |
| 90674 | <1% | 469 | $9K | |
| 99174 | <1% | 2,532 | $9K | |
| 92551 | <1% | 1,148 | $7K | |
| 90661 | <1% | 670 | $7K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 250 | $7K |
| 90700 | <1% | 1,874 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 396 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 72 | $6K |
| 90688 | <1% | 343 | $5K | |
| 90707 | <1% | 463 | $5K | |
| 96127 | <1% | 1,716 | $5K | |
| 0001A | <1% | 127 | $5K | |
| 90713 | <1% | 1,329 | $5K | |
| 90633 | <1% | 694 | $4K | |
| 0002A | <1% | 105 | $4K | |
| 90715 | <1% | 329 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 50 | $3K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 19 | $2K |
| 99173 | <1% | 779 | $2K | |
| 90680 | <1% | 162 | $1K | |
| 90648 | <1% | 993 | $1K | |
| 90671 | <1% | 12 | $1K | |
| 90656 | <1% | 229 | $1K | |
| 90685 | <1% | 38 | $622.19 | |
| 0081A | <1% | 23 | $560.00 | |
| 90744 | <1% | 204 | $528.36 | |
| 0004A | <1% | 13 | $520.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 29 | $338.72 |
| 99051 | <1% | 334 | $332.04 | |
| 92015 | Determination of refractive state | <1% | 16 | $240.88 |
| 87807 | <1% | 28 | $216.86 | |
| 36416 | <1% | 227 | $138.60 | |
| 91307 | <1% | 579 | $111.00 | |
| 91300 | <1% | 229 | $30.00 | |
| 99050 | <1% | 12 | $28.26 | |
| 91308 | <1% | 27 | $5.00 | |
| 99072 | 0% | 2,524 | $0.00 | |
| 91305 | 0% | 42 | $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, GAURANG (OWNER OF GAURANG PATEL MD LLC)
| Provider | Location | Paid |
|---|---|---|
| Beechmont Dental DR. Patel, INC. | Cincinnati, OH | $243K |
| G Patel MD PA | Melbourne, FL | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.