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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAjay Patel
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    Ajay Patel — Billing Profile & Reimbursement Data

    NPI 1023078912 · Saint Albans, WV · Internal Medicine Physician

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    Ajay Patel is a internal medicine physician provider located in Saint Albans, West Virginia. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAjay Patel
    Address450 2nd St
    CitySaint Albans
    StateWV
    ZIP25177
    TaxonomyInternal Medicine Physician
    NPI EnumeratedMarch 24, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$65.3K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…230$80$19.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…190$70$12.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit50$120$6.6K
    99442N/A80$70$5.4K
    99443N/A70$80$5.3K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…50$80$4K
    99483The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…20$210$3.1K
    G0447Face-to-face behavioral counseling for obesity, 15 minutes90$30$2.2K
    92548The provider performs computerized dynamic posturography sensory organization testing to evaluate the patient's motor, sensory, and integrative processes used to maintain balance and stability. The…50$40$1.6K
    G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes50$30$1.3K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9948391030$180$13.5K
    992146342,740100$70$11.8K
    G043929156060$120$9.3K
    992136652,86080$50$7.5K
    994974911040$60$5K
    9944393030$70$4.1K
    G044661070$20$2.4K
    994421212020$50$2K
    G044752040$20$1.6K
    9254811040$30$1.3K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ajay Patel, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hospitalist Medicine Physicians Of West Virginia, PLLCWVInternal Medicine Physician$0$4.1M
    Pradeep ChadhaWVInternal Medicine Physician$603.3K$0
    Alemeshet GudetaMDInternal Medicine Physician$296.1K$0
    Gabriella OlsonWVFamily Medicine Physician$207.8K$0
    David WarrenAZHospitalist Physician$206.1K$0
    Babak BarmarWVNephrology Physician$200.5K$0
    Cathy FunkWVInternal Medicine Physician$175.6K$0
    Sonia NaseryWVInternal Medicine Physician$174K$0
    Kolawale OshiyoyeWVUrgent Care Clinic/Center$162.5K$0
    Courtney StruthersWVInternal Medicine Physician$143.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Ajay Patel, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Putnam County Aging, Inc.WVHome Health Agency$0$26.5M
    Ten Up Ministries, IncWVMental Health Clinic/Center (Including Community Mental Health Center)$0$19.9M
    Womencare IncWVFederally Qualified Health Center (FQHC)$0$10.7M
    Putnam County Aging Program, Inc.WVHome Health Agency$0$3.4M
    Braley & Thompson, Inc.WVEmotionally Disturbed Childrens' Residential Treatment Facility$0$777.9K
    West Virginia Cvs Pharmacy LLCWVPharmacy$82.1K$2.7K
    Steven PotwinWVOptometrist$72.1K$0
    Michael NotoWVFoot & Ankle Surgery Podiatrist$60.4K$0
    Stacey SmithWVFoot & Ankle Surgery Podiatrist$35.7K$0
    Gabriel MckinneyWVChiropractor$22.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. West Virginia Distribution
    Ajay Patel — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia