Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Downey › NPI 1962636522
Physician

Patel, Ajay

Patel, Ajay was paid $1.09M by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoPATEL, AJAY
DOWNEY, CA 90241
33aNPI1962636522assigned 05/12/2009
28Total paid$1.09M
24GClaims18,062
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in California

Rank by total paid#13 of 70
Median peer was paid$39K
This provider vs. median28×

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$20K$40K$60K2018201920202021202220232024
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
2018331$23K
2019721$65K
2020826$80K
20212,376$105K
20224,971$291K
20235,627$374K
2024incomplete3,210$153K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 52% 9,482 9,044 $569K
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% 3,854 3,673 $144K
64483 12% 488 485 $135K
64484 8.1% 623 317 $89K
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 4.8% 510 505 $52K
20553 4.6% 814 798 $50K
99443 2.8% 562 524 $31K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1.1% 990 981 $12K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 657 593 $10K
99442 <1% 12 12 $502.65
3288F 0% 13 12 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 14 13 $0.00
3 more codes
1090F 0% 14 $0.00
1006F 0% 14 $0.00
1036F 0% 15 $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.