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 Wyoming for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wyoming 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. Wyoming (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.

Gaurav Patel (NPI 1023571379)

Field	Value
Entity Type	Individual
Organization	Gaurav Patel
Address	2221 Elm St
City	Rawlins
State	WY
ZIP	82301
Taxonomy	Family Medicine Physician
NPI Enumerated	April 12, 2019

Payer Source	Total Paid
Medicare	$35.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	300	$60	$18.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$130	$7.4K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	50	$90	$4.2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	50	$60	$3.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$100	$2.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Gaurav Patel — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	33	190	90	$60	$11K
99223	38	130	40	$130	$7.8K
99239	48	90	50	$80	$6.9K
99222	85	160	30	$100	$3.7K
99238	21	100	30	$60	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kirk Mitchell	CO	Geriatric Medicine (Internal Medicine) Physician	$27.1M	$1M
Cibola General Hospital Corporation	NM	Critical Access Hospital	$0	$26.5M
Christus Trinity Clinic Texas	TX	Family Medicine Physician	$0	$22.2M
Tri-state Memorial Hospital	WA	Critical Access Hospital	$0	$14.5M
Saint Francis Medical Center	MO	Internal Medicine Physician	$0	$11.7M
Youth And Shelter Services, Inc.	IA	Counselor	$0	$11.4M
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$7.5M
Cibola General Hospital Corporation	NM	Rural Health Clinic/Center	$0	$6.4M
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$4.7M
University Cancer & Blood Center LLC	GA	Hematology & Oncology Physician	$0	$3.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hospital Of Carbon County	WY	Critical Access Hospital	$0	$938.9K
S48wy4, LLC	WY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$500.2K
High Plains Vision Center, LLC	WY	Optometrist	$0	$399K
Charles Young	WY	Family Medicine Physician	$86.8K	$195.4K
Valence Health Corp PC	WY	Family Medicine Physician	$0	$253.9K
Lincare Inc.	WY	Durable Medical Equipment & Medical Supplies	$0	$176.3K
Stephanie Chiu	WY	Family Medicine Physician	$174.1K	$0
Kari Skordas	WY	Clinical Social Worker	$0	$169.1K
Kristel Lessard	WY	Internal Medicine Physician	$141K	$0
Gary Mikesell	WY	Family Medicine Physician	$0	$118.5K

Gaurav Patel — Billing Profile & Reimbursement Data

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Gaurav 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