Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or South Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. South Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Nikhil Patel (NPI 1023499076)

Field	Value
Entity Type	Individual
Organization	Nikhil Patel
Address	817 Farrar Dr
City	Conway
State	SC
ZIP	29526
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	June 16, 2015

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Medicare: Complete Services Breakdown

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

79 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	16,020	$40	$688.7K
J9299	Injection, nivolumab, 1 mg	13,760	$20	$330.2K
J0897	Injection, denosumab, 1 mg	11,100	$20	$199.8K
J1437	Injection, ferric derisomaltose, 10 mg	5,900	$20	$100.3K
99214	The 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…	880	$90	$81.4K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	70	$710	$49.4K
99213	The 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…	750	$60	$46.7K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	450	$90	$41.7K
J0885	Injection, epoetin alfa, (for non-esrd use), 1000 units	5,530	$10	$33.2K
J1454	Injection, fosnetupitant 235 mg and palonosetron 0.25 mg	50	$350	$18K

Showing 1–10 of 79

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 79 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Nikhil Patel — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

79 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	22	30	19,700	$40	$832K
J9299	11	10	15,760	$20	$432K
J1437	8	10	6,240	$20	$107.6K
J0897	33	250	2,400	$20	$91.2K
J3490	25	50	70	$510	$57.7K
78815	69	120	80	$220	$25.8K
99214	568	7,860	160	$80	$23.2K
96413	27	150	140	$90	$22.1K
J0885	5	20	2,220	$10	$21.3K
A9552	13	30	80	$200	$19.4K

Showing 1–10 of 79

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jordan Henderson	SC	Hematology & Oncology Physician	$3.1M	$0
Dejuania Brown-rawls	SC	Hematology & Oncology Physician	$2.8M	$0
Patrick Francke	SC	Radiation Oncology Physician	$2.8M	$0
David Zaenger	SC	Radiation Oncology Physician	$2.3M	$0
Renwick Goldberg	SC	Hematology & Oncology Physician	$2.2M	$0
Stephen Andrews	SC	Radiation Oncology Physician	$2M	$0
Emily Touloukian	SC	Hematology & Oncology Physician	$1.5M	$0
Vijay Paudel	SC	Hematology & Oncology Physician	$912.8K	$0
Tanya Bralley	SC	Medical Physician Assistant	$208.3K	$0
Angela Brinegar	SC	Adult Health Nurse Practitioner	$152.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40.5M
Horry County Disabilities & Special Needs Board	SC	Developmentally Disabled Services Day Training Agency	$0	$25.7M
Conway Hospital, Inc.	SC	General Acute Care Hospital	$0	$20.2M
Health Care Partners Of South Carolina, Inc.	SC	Federally Qualified Health Center (FQHC)	$0	$10.7M
Carolina Radiology Associates LLC	SC	Diagnostic Radiology Physician	$0	$9.2M
Horry County Government	SC	Land Ambulance	$4M	$4.4M
Conway Hospital Emergency Professional Services	SC	Emergency Medicine Physician	$0	$6.1M
Coastal Pediatrics	SC	Primary Care Clinic/Center	$0	$5.1M
Carolina Care Medical Supply LLC	SC	Durable Medical Equipment & Medical Supplies	$0	$4.9M
Nicholas Marchase	SC	Ophthalmology Physician	$4.1M	$306.4K

Nikhil Patel — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References