PRASHANT PATEL, MD
Sleep Medicine (Internal Medicine) Physician · BRIDGEWATER, NJ
Individual Active NPI 1982806915
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 470 | 3,795 | $1,526,578 | $263,618 | $203,478 |
| 2023 | 484 | 4,081 | $1,630,873 | $289,742 | $219,345 |
| 2022 | 538 | 3,992 | $1,841,958 | $325,943 | $250,915 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 936 | $141 | $108 |
| 94010 | Test to measure expiratory airflow and volume | 751 | $31 | $24 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 145 | $51 | $40 |
| 94729 | Test to examine how well the lungs exchange gases | 145 | $65 | $51 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 145 | $0 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 145 | $45 | $34 |
| 94200 | Test to measure largest amount of air breathed in an out | 144 | $17 | $14 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 109 | $241 | $183 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 103 | $55 | $43 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 102 | $99 | $77 |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 100 | $155 | $123 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 95 | $55 | $42 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ✓ | 25MA08139100 | NJ |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MA08139100 | 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.