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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRuchika Patel
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    Ruchika Patel — Billing Profile & Reimbursement Data

    NPI 1033483755 · Phila, PA · Rheumatology Physician

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    Ruchika Patel is a rheumatology physician provider located in Phila, Pennsylvania. This profile covers 31 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
    OrganizationRuchika Patel
    Address5501 Old York Rd
    CityPhila
    StatePA
    ZIP19141
    TaxonomyRheumatology Physician
    NPI EnumeratedFebruary 27, 2012

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

    Payer SourceTotal Paid
    Medicare$1.5M
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3245Injection, tildrakizumab, 1 mg2,500$110$275K
    J3262Injection, tocilizumab, 1 mg41,560$10$207.8K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)5,780$30$196.3K
    J0897Injection, denosumab, 1 mg9,780$20$176K
    J1602Injection, golimumab, 1 mg, for intravenous use15,560$10$155.6K
    J1745Injection, infliximab, excludes biosimilar, 10 mg5,510$30$137.8K
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)26,400$1$105.6K
    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…810$100$80.5K
    J1306Injection, inclisiran, 1 mg5,960$10$53.7K
    J3111Injection, romosozumab-aqqg, 1 mg5,250$10$42K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J324510103,750$110$670.1K
    J012941607,900$30$353.8K
    J3262183045,000$1$268K
    J0717467038,610$1$223.7K
    J1602236011,780$10$181.6K
    J3111576016,590$10$176.8K
    J130613208,800$10$155K
    J174522803,630$30$115.4K
    J0897675302,460$20$89.6K
    9641346300140$100$19.8K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael SchusterNJRheumatology Physician$1.5M$0
    Arielle SilverNJRheumatology Physician$1.2M$0
    Adrienne HollanderNJRheumatology Physician$1.2M$0
    Elizabeth ThomasNCRheumatology Physician$996K$0
    Nadishani DissanayakaNJRheumatology Physician$973.4K$0
    Sneha SundaramNJRheumatology Physician$956.4K$0
    Alicia WollermannNJRheumatology Physician$950.6K$0
    Amy EvangelistoNJRheumatology Physician$943.2K$0
    Sheldon SolomonNJRheumatology Physician$833.2K$0
    Shawn AbrahamNJRheumatology Physician$829.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Patriot Home Care, IncPAHome Health Agency$0$135.9M
    Albert Einstein Medical CenterPAGeneral Acute Care Hospital$0$81.1M
    Dr Warren E Smith Community Mental Health Mental Retardation & SubstanPAMental Health Clinic/Center (Including Community Mental Health Center)$0$34.5M
    Pathways To Housing PA, Inc.PACase Management Agency$0$26.4M
    Albert Einstein Medical CenterPARehabilitation Hospital Unit$0$14.5M
    Einstein Practice Plan IncPAEmergency Medicine Physician$0$13.9M
    Einstein Practice Plan IncPADiagnostic Radiology Physician$0$9.6M
    Einstein Practice Plan IncPAPediatrics Physician$0$8M
    Resources For Human Development, Inc.PACase Management Agency$0$7.1M
    Chad Home Health Agency, Inc.PAHome Health Agency$0$6M

    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. Pennsylvania Distribution
    Ruchika Patel — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania