NIMISHA PATEL, MD
Hospitalist Physician · CUMMING, GA
Individual Active NPI 1811126576
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 338 | 1,073 | $280,936 | $93,077 | $72,888 |
| 2023 | 404 | 1,266 | $264,366 | $100,443 | $79,117 |
| 2022 | 387 | 1,267 | $232,066 | $93,293 | $75,797 |
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 | 677 | $77 | $61 |
| 99239 | Hospital discharge day management, more than 30 minutes | 143 | $112 | $88 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 58 | $115 | $89 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 46 | $166 | $133 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 23 | $35 | $35 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 20 | $127 | $82 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 19 | $90 | $71 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 15 | $165 | $106 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 15 | $110 | $88 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ✓ | 069239 | GA |
| Family Medicine Physician | 207Q00000X | 22229 | MS | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — | |
| Family Medicine Physician | 207Q00000X | 69239 | GA |
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.