Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Nisha Patel

Nurse Practitioner·Mint Hill, NC·NPI: 1225387830SharePrint ReportML Risk: 83%

Total Paid

$273K

$272,686

Total Claims

5,045

Beneficiaries

2,025

2.5 claims/patient

Avg Cost/Claim

$54

🔍 Analysis

Provider Overview

Nisha Patel is a Nurse Practitioner provider based in Mint Hill, NC. From the 2018–2024 period, this provider received $273K in Medicaid payments across 5K claims serving 2K beneficiaries.

1014% growthsince first billing year

Yearly Spending

2018
$5K
+3858%
2019
$209K
-72%
2020
$59K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 80% of total spending.

99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$218K

2,772 claims · 79.8%

Your Cost: $78.52/claim|Median: $53.41
1.5× median
99407Top 25%

$29K

1,376 claims · 10.7%

Your Cost: $21.14/claim|Median: $13.29
1.6× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$8K

83 claims · 2.9%

Your Cost: $94.69/claim|Median: $84.03
1.1× median
80305Top 25%

$5K

410 claims · 1.8%

Your Cost: $11.64/claim|Median: $7.44
1.6× median
90834Normal range

Psychotherapy, 45 minutes

$4K

113 claims · 1.5%

Your Cost: $36.13/claim|Median: $63.65
0.6× median
95004Normal range

Percutaneous allergy skin tests, each

$3K

36 claims · 1.2%

Your Cost: $92.38/claim|Median: $134.97
0.7× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$2K

27 claims · 0.7%

Your Cost: $72.11/claim|Median: $144.04
0.5× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$2K

69 claims · 0.7%

Your Cost: $27.10/claim|Median: $38.83
0.7× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$1K

29 claims · 0.4%

Your Cost: $39.68/claim|Median: $37.81
1.0× median
95117Normal range

$608

105 claims · 0.2%

Your Cost: $5.79/claim|Median: $8.34
0.7× median
80306Normal range

$315

25 claims · 0.1%

Your Cost: $12.59/claim|Median: $10.29
1.2× median