Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Patel, Sima

Patel, Sima was paid $62K by Medicaid between Aug 2019 and May 2024, across 13 billing codes. Its largest line is 95004, Percutaneous tests with allergenic extracts, immediate type reaction — 41% of everything it billed.

33Billing provider infoPATEL, SIMA
NEW YORK, NY 10011
33aNPI1912263450assigned 04/10/2012
28Total paid$62K
24GClaims1,977
24DCodes billed13
24AFirst – last monthAug 2019 – May 2024
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in New York

Rank by total paid#163 of 2,013
Median peer was paid$4K
This provider vs. median17×

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$5.0K$10K2018201920202021202220232024
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
2019240$15K
2020478$16K
20211,125$30K
2022111$758.71
2024incomplete23$157.23
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
95004 Percutaneous tests with allergenic extracts, immediate type reaction 41% 170 162 $26K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 248 227 $12K
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 14% 121 112 $8K
95117 12% 1,005 637 $8K
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 7.8% 45 45 $5K
94010 3.4% 95 89 $2K
95012 <1% 59 54 $499.92
94664 <1% 49 45 $447.27
90688 <1% 13 13 $172.53
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 13 $161.52
A4617 Mouth piece <1% 69 64 $88.90
96160 <1% 30 29 $30.93
1 more codes
99070 <1% 60 $4.50

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.