NIKUNJKUMAR PATEL
Endocrinology, Diabetes & Metabolism Physician · TOMS RIVER, NJ
Individual Active NPI 1174039309
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,242 | 6,720 | $1,031,959 | $614,087 | $488,271 |
| 2023 | 701 | 2,913 | $562,902 | $280,007 | $222,537 |
| 2022 | 181 | 334 | $138,214 | $37,847 | $30,251 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 4,394 | $76 | $61 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 1,026 | $127 | $101 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 768 | $127 | $101 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 200 | $33 | $26 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 124 | $111 | $89 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 85 | $166 | $131 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 36 | $180 | $143 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 20 | $89 | $72 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 19 | $168 | $134 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 16 | $43 | $35 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ✓ | 25MA10366100 | NJ |
| Internal Medicine Physician | 207R00000X | 25MA10366100 | NJ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.