Providers
All 10 in NJ
RONAK DILIP PATEL, MD
NPI 1114273893, individual, Plainsboro, NJ, Anesthesiology, Pain Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 7 months, but with up to 321 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 50 of 100, rank 9476, $193K at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2018 | More hours than a day holds at a conservative unit price | 5.0 | 73.6 | 49.1 | 68.7 | 311 | 1 | 99204 99213 99214 | $30K |
| Mar 2018 | More hours than a day holds at a conservative unit price | 3.6 | 50.5 | 33.7 | 47.4 | 255 | 1 | 99204 99213 99214 | $23K |
| Apr 2018 | More hours than a day holds at a conservative unit price | 2.4 | 37.0 | 24.6 | 35.2 | 174 | 1 | 99213 99214 | $15K |
| May 2018 | More hours than a day holds at a conservative unit price | 4.6 | 62.5 | 41.7 | 56.2 | 307 | 1 | 99204 99213 99214 | $28K |
| Jun 2018 | More hours than a day holds at a conservative unit price | 4.2 | 59.9 | 39.9 | 57.1 | 291 | 1 | 99204 99213 99214 | $26K |
| Jul 2018 | More hours than a day holds at a conservative unit price | 4.6 | 63.0 | 42.0 | 59.1 | 317 | 1 | 99204 99213 99214 | $29K |
| Aug 2018 | More hours than a day holds at a conservative unit price | 4.3 | 57.4 | 38.3 | 51.6 | 321 | 1 | 99204 99213 99214 | $26K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | RONAK DILIP PATEL, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 31, 2012, last updated November 7, 2018 |
| Practice location | 666 PLAINSBORO RD STE 100, Plainsboro, NJ 08536-3030, 609-269-4451 |
| Specialties | Anesthesiology, Pain Medicine (207LP2900X, primary, license 25MA09819800 NJ) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 80307 | Testing for presence of drug, by chemistry analyzers | $158K | 32% | $89 | $45 (top 5% from $110) | 90th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $86K | 17% | $100 | $60 (top 5% from $133) | 85th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $82K | 17% | $68 | $44 (top 5% from $110) | 80th percentile | |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | $44K | 9% | $258 | $150 (top 5% from $603) | 79th percentile | |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | $30K | 6% | $153 | $125 (top 5% from $689) | 58th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $25K | 5% | $169 | $95 (top 5% from $171) | 95th percentile | |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | $16K | 3% | $405 | $239 (top 5% from $808) | too few months to rank | |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | $15K | 3% | $75 | $48 (top 5% from $205) | 76th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 597 | 141 | $66K | $370 | $139 | 2.7x | 2.3x (90th percentile 3.8x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 79 | 79 | $11K | $705 | $181 | 3.9x | 2.4x (90th percentile 3.9x) |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 27 | 27 | $6K | $21K | $293 | 72.2x | 5.2x (90th percentile 13.7x) |
| 76942 | Ultrasonic guidance for needle placement | 48 | 19 | $2K | $1K | $64 | 18.8x | 5.5x (90th percentile 15.3x) |
| 64636 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 27 | 27 | $2K | $15K | $88 | 174.5x | 5.5x (90th percentile 20.8x) |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 16 | 13 | $2K | $13K | $130 | 95.9x | 5.7x (90th percentile 15.2x) |
| 64484 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 14 | 11 | $635 | $9K | $57 | 154.5x | 5.5x (90th percentile 17.1x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
10 providers in Middlesex County, NJ carry an indicator in the public record, with $4.7M at stake between them. The most common is paid after a public list action, on 4 of them, followed by named in an enforcement record on 3. 7 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MALINI RAO New Brunswick, NJ, ranked 156 | $85K |
|
| 1 | FAZAL PANEZAI Matawan, NJ, ranked 271 | $12K |
|
| 1 | BHAVESH MISTRY Old Bridge, NJ, ranked 328 | $5K |
|
| 1 | OLD BRIDGE CENTER OF PHYSICAL THERAPY INC Old Bridge, NJ, ranked 329 | $5K |
|
| 1 | DIABETES & OSTEOPOROSIS CENTER PC Piscataway, NJ, ranked 377 | $2K |
|
| 1 | MATAWAN ABERDEEN HEART & MEDICAL CENTER Matawan, NJ, ranked 475 | $0 |
|
| 1 | APOGEE BIO-PHARM LIMITED LIABILITY COMPANY Edison, NJ, ranked 572 | $0 |
|
| 4 | REHAN MALIK Monroe, NJ, ranked 7519 | $3.5M |
|
Recent enforcement in NJ
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedJul 29, 2026
Fraud Division Resolves Fraud Investigation of Eye Care Group Under New Corporate Enforcement Policy; Health Care Executive Charged for Alleged Fraud and Kickbacks
DiDonato allegedly conspired to defraud Medicare by billing for unnecessary and duplicative diagnostic eye tests and paid kickbacks and bribes to ophthalmologists disguised as consulting fees for patient referrals, while Campus Eye received a declination after self-disclosing and agreed to pay back $1 million to victims.
DOJIndictedJul 29, 2026
Founder And Former CEO of New Jersey Based Eye Care Group Charged with Health Care Fraud Conspiracy and Paying Illegal Kickbacks
DiDonato allegedly paid kickbacks disguised as consulting fees to ophthalmologists for patient referrals and billed Medicare approximately $3.4 million for duplicative or unnecessary diagnostic tests performed at his optometry practice and eye surgery center.
DOJChargedJul 9, 2026
Six Individuals, Including a Pharmacist and Doctor, Charged in Connection with $20 Million Healthcare Fraud and Kickback Scheme
A pharmacy owner paid cash kickbacks to a doctor, advanced practice nurses, and an office manager in exchange for medically unnecessary prescriptions for high-reimbursement medications billed to Medicare and Medicaid.
DOJPleaded guiltyJun 24, 2026
Cape May County Psychiatrist Admits to 17 Felony Counts for Unlawful Controlled Substance Prescriptions Linked to Sexual Conduct, Risk of Death, and Serious Bodily Injury
A psychiatrist issued invalid prescriptions for Adderall, Vyvanse, and Xanax to 17 patients outside the usual course of professional practice, with intent to defraud and mislead the dispensing pharmacies and the insurers, government benefits programs, and other third parties who paid for the drugs, sometimes in exchange for sexual activities, images, or videos.
DOJSentencedMay 21, 2026
New Jersey Physical Therapist Sentenced to 12 Months in Prison for Health Care Fraud Scheme Targeting Amtrak
Kim, a licensed physical therapist, allowed her license and business bank accounts to be used to bill Amtrak's health care plan for claims for services that never were provided and were medically unnecessary, in return for a portion of the proceeds.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.