Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $154.08 | 3 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| AbbVie, Inc. | $61.22 | 1 | $0 (2017) |
| Valeant Pharmaceuticals North America LLC | $48.94 | 1 | $0 (2017) |
| Intercept Pharmaceuticals, Inc. | $43.92 | 1 | $0 (2019) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2019 | $43.92 | 1 | Intercept Pharmaceuticals, Inc. ($43.92) |
| 2017 | $110.16 | 2 | AbbVie, Inc. ($61.22) |
All Payment Transactions
3 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 06/12/2019 | Intercept Pharmaceuticals, Inc. | OCALIVA (Drug) | Food and Beverage | In-kind items and services | $43.92 | General |
| Category: HEPATOLOGY GASTROENTEROLOGY | ||||||
| 07/20/2017 | Valeant Pharmaceuticals North America LLC | XIFAXAN (Drug) | Food and Beverage | In-kind items and services | $48.94 | General |
| Category: GASTROENTEROLOGY | ||||||
| 04/19/2017 | AbbVie, Inc. | Creon (Drug) | Food and Beverage | In-kind items and services | $61.22 | General |
| Category: Endocrinology | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 4 | 231 | 303 | $81,290 | $27,040 |
| 2022 | 6 | 351 | 543 | $135,932 | $44,379 |
| 2021 | 8 | 487 | 771 | $184,275 | $60,922 |
| 2020 | 9 | 497 | 782 | $188,791 | $59,818 |
All Medicare Procedures & Services
27 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 74 | 74 | $30,710 | $9,844 | 32.1% |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Facility | 2023 | 83 | 95 | $19,000 | $8,674 | 45.7% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 63 | 123 | $20,910 | $7,462 | 35.7% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2023 | 11 | 11 | $10,670 | $1,060 | 9.9% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 93 | 94 | $39,010 | $14,185 | 36.4% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 93 | 255 | $43,350 | $13,925 | 32.1% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 117 | 142 | $28,400 | $11,014 | 38.8% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 16 | 19 | $6,422 | $1,976 | 30.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 16 | 17 | $3,230 | $1,641 | 50.8% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2022 | 16 | 16 | $15,520 | $1,638 | 10.6% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 133 | 357 | $60,690 | $19,921 | 32.8% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 111 | 111 | $46,065 | $17,204 | 37.3% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2021 | 157 | 193 | $38,600 | $15,469 | 40.1% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2021 | 20 | 30 | $10,140 | $3,172 | 31.3% |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2021 | 21 | 21 | $20,370 | $2,164 | 10.6% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 20 | 23 | $4,370 | $1,718 | 39.3% |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | Facility | 2021 | 14 | 25 | $2,500 | $745.75 | 29.8% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 11 | 11 | $1,540 | $526.98 | 34.2% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2020 | 111 | 346 | $58,820 | $18,699 | 31.8% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2020 | 121 | 121 | $50,215 | $18,043 | 35.9% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2020 | 134 | 157 | $31,400 | $12,228 | 38.9% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2020 | 24 | 32 | $10,816 | $3,306 | 30.6% |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2020 | 21 | 21 | $20,370 | $2,089 | 10.3% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 29 | 31 | $5,890 | $1,736 | 29.5% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Office | 2020 | 24 | 32 | $4,480 | $1,581 | 35.3% |
About Dr. Nainesh Patel, MD
Dr. Nainesh Patel, MD is a Specialist healthcare provider based in Beckley, West Virginia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 11/01/2005. The National Provider Identifier (NPI) number assigned to this provider is 1861483695.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Nainesh Patel, MD has received a total of $154.08 in payments from pharmaceutical and medical device companies, with $43.92 received in 2019. These payments were reported across 3 transactions from 3 companies. The most common payment nature is "Food and Beverage" ($154.08).
As a Medicare-enrolled provider, Patel has provided services to 1,566 Medicare beneficiaries, totaling 2,399 services with total Medicare billing of $192,159. Data is available for 4 years (2020–2023), covering 27 distinct procedure/service records.
Practice Information
- Specialty Specialist
- Location Beckley, WV
- Active Since 11/01/2005
- Last Updated 04/30/2008
- Taxonomy Code 174400000X
- Entity Type Individual
- NPI Number 1861483695
Products in Payments
- Creon (Drug) $61.22
- XIFAXAN (Drug) $48.94
- OCALIVA (Drug) $43.92
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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