Patel, Hemantkumar

Patel, Hemantkumar was paid $32K by Medicaid between Jan 2018 and Jan 2021, across 12 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 36% of everything it billed.

33Billing provider infoPATEL, HEMANTKUMAR
NEWARK, NJ 07106

33aNPI1932178357assigned 03/16/2006

33bProvider typePulmonary Disease Physician

28Total paid$32K

24GClaims1,643

24DCodes billed12

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other Pulmonary Disease Physician providers in New Jersey

Rank by total paid#54 of 112

Median peer was paid$24K

This provider vs. median1.3×

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	1,052	$17K
2019	531	$14K
2021	60	$917.50

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99231	Subsequent hospital care, per day, straightforward or low complexity	36%	634	157	$12K
99253		34%	152	152	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	413	396	$4K
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	5.7%	92	92	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.3%	174	172	$1K
99222	Initial hospital care, per day, moderate complexity	3.3%	27	27	$1K
99238	Hospital discharge day management, 30 minutes or less	1.7%	26	25	$533.61
90688		<1%	18	18	$289.11
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	19	19	$218.50
99401		<1%	29	28	$120.26
36415	Collection of venous blood by venipuncture	<1%	46	46	$85.86
99407		<1%	13	13	$46.68

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.