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

Patel, Viren

Patel, Viren was paid $1.53M by Medicaid between Jul 2019 and Nov 2024, across 129 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 20% of everything it billed.

33Billing provider infoPATEL, VIREN
PHILADELPHIA, PA 19140
33aNPI1891137980assigned 07/18/2013
28Total paid$1.53M
24GClaims182,021
24DCodes billed129
24AFirst – last monthJul 2019 – Nov 2024
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Pennsylvania

Rank by total paid#4 of 163
Median peer was paid$15K
This provider vs. median100×

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$50K$100K2018201920202021202220232024
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
201912,153$74K
202029,507$200K
202125,781$313K
202241,928$428K
202340,014$330K
2024incomplete32,638$189K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 20% 5,454 4,395 $311K
88305 Level IV - Surgical pathology, gross and microscopic examination 6.8% 2,257 2,128 $104K
0202U Oncology (prostate), multianalyte, gene expression profiling 6.2% 388 376 $95K
80053 Comprehensive metabolic panel 6.0% 18,198 15,027 $92K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4.5% 3,174 3,055 $69K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4.5% 3,168 3,051 $68K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4.4% 23,816 18,107 $68K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 3.3% 1,085 1,011 $50K
84443 Thyroid stimulating hormone (TSH) 2.4% 4,629 4,339 $37K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.4% 933 842 $36K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2.3% 468 435 $35K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.1% 1,332 1,144 $31K
117 more codes
88342 1.8% 1,468 $28K
87086 Culture, bacterial; quantitative colony count, urine 1.8% 5,513 $27K
80048 Basic metabolic panel (calcium, ionized) 1.6% 5,781 $24K
87480 1.5% 1,803 $23K
87510 1.5% 1,801 $23K
82803 1.4% 1,791 $21K
83735 1.3% 5,996 $21K
87660 1.0% 1,955 $16K
83605 1.0% 2,836 $15K
87040 <1% 1,588 $15K
82962 <1% 7,379 $14K
87081 <1% 4,545 $13K
84484 <1% 2,448 $12K
82330 <1% 1,379 $12K
80061 Lipid panel <1% 3,244 $11K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,294 $10K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 710 $10K
85730 <1% 2,140 $9K
87641 <1% 433 $9K
87186 <1% 1,612 $9K
88307 <1% 150 $9K
83880 <1% 734 $8K
86780 <1% 955 $8K
83036 Hemoglobin; glycosylated (A1C) <1% 2,395 $7K
85610 <1% 3,548 $7K
83690 <1% 2,086 $7K
81025 <1% 2,890 $7K
86850 <1% 2,203 $6K
80069 <1% 1,462 $6K
84100 <1% 2,742 $6K
82607 <1% 1,047 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 275 $6K
81001 <1% 3,913 $5K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 214 $5K
86901 <1% 2,383 $5K
84439 <1% 1,170 $5K
86140 <1% 2,069 $5K
86803 <1% 621 $5K
82728 <1% 1,177 $5K
80202 <1% 639 $5K
86900 <1% 2,370 $4K
84466 <1% 928 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 235 $4K
88341 <1% 87 $4K
85384 <1% 1,069 $3K
87088 <1% 632 $3K
85379 <1% 813 $3K
82570 <1% 1,254 $3K
87147 <1% 1,804 $3K
82746 <1% 514 $3K
82784 <1% 387 $3K
85027 <1% 989 $3K
81003 <1% 2,573 $3K
84702 <1% 615 $3K
83540 <1% 875 $3K
87070 <1% 797 $3K
87340 <1% 396 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 299 $2K
82550 <1% 718 $2K
83970 <1% 139 $2K
83615 <1% 704 $2K
85014 <1% 1,445 $2K
86003 <1% 58 $2K
80047 <1% 361 $2K
84703 <1% 441 $2K
85652 <1% 1,186 $1K
82565 <1% 596 $1K
86038 <1% 175 $1K
82043 <1% 655 $1K
83516 <1% 202 $1K
87205 <1% 576 $1K
86480 <1% 42 $1K
87581 <1% 73 $982.97
84550 <1% 460 $944.43
85018 <1% 640 $783.08
84146 <1% 126 $780.18
87536 <1% 18 $695.22
84478 <1% 279 $621.40
84156 <1% 540 $607.55
86920 <1% 122 $552.25
88304 <1% 30 $550.77
84295 <1% 189 $548.84
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 62 $545.60
84481 <1% 111 $535.08
86762 <1% 124 $530.63
85045 <1% 414 $506.25
82248 <1% 251 $495.14
82247 <1% 183 $487.76
80076 <1% 116 $449.05
84132 <1% 153 $357.50
82805 <1% 14 $329.82
82785 <1% 56 $281.00
86880 <1% 67 $279.75
82533 <1% 30 $275.11
87493 <1% 12 $274.92
83655 <1% 47 $263.91
82947 <1% 122 $231.15
86665 <1% 13 $231.10
82670 <1% 28 $218.61
85347 <1% 82 $208.29
80306 <1% 33 $197.64
87075 <1% 25 $178.93
86706 <1% 28 $156.04
87807 <1% 31 $155.93
80177 <1% 31 $144.25
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 13 $143.60
87184 <1% 31 $139.50
87341 <1% 15 $75.60
87210 <1% 21 $74.03
80164 <1% 15 $70.88
86308 <1% 31 $68.40
84480 <1% 14 $58.74
86592 <1% 18 $33.00
82950 <1% 13 $29.13
82009 <1% 14 $19.04
81015 <1% 18 $15.72
87077 0% 82 $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.