Physician
Patel, Pankaj
Patel, Pankaj was paid $1.06M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoPATEL, PANKAJ
EDISON, NJ 08820
EDISON, NJ 08820
33aNPI1982614400assigned 08/08/2006
33bProvider typeInternal Medicine Physician
28Total paid$1.06M
24GClaims32,734
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#61 of 1,027
Median peer was paid$30K
This provider vs. median36×
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 | 4,469 | $142K | |
| 2019 | 4,406 | $122K | |
| 2020 | 3,397 | $116K | |
| 2021 | 4,401 | $160K | |
| 2022 | 5,279 | $173K | |
| 2023 | 6,567 | $209K | |
| 2024incomplete | 4,215 | $136K |
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 | 68% | 20,030 | 13,636 | $724K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 14% | 2,687 | 2,649 | $147K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.0% | 942 | 936 | $52K |
| 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 | 4.3% | 937 | 845 | $45K |
| 99397 | 2.8% | 561 | 551 | $30K | |
| 99457 | 1.8% | 1,631 | 1,560 | $19K | |
| 90658 | 1.1% | 675 | 673 | $12K | |
| 99454 | <1% | 710 | 692 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 829 | 767 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 51 | 50 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,554 | 1,529 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 105 | 102 | $3K |
11 more codes
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 256 | $1K |
| 99000 | <1% | 1,381 | $617.38 | |
| 90756 | <1% | 139 | $591.08 | |
| 99458 | <1% | 39 | $438.80 | |
| 99453 | <1% | 29 | $158.33 | |
| 1170F | 0% | 22 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 60 | $0.00 |
| 1125F | 0% | 24 | $0.00 | |
| 1159F | 0% | 22 | $0.00 | |
| 99490 | Ccm add 20min | 0% | 28 | $0.00 |
| 1160F | 0% | 22 | $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.