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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNilesh Patel
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    Nilesh Patel — Billing Profile & Reimbursement Data

    NPI 1043263205 · Chattanooga, TN · Nephrology Physician

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    Nilesh Patel is a nephrology physician provider located in Chattanooga, Tennessee. This profile covers 42 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
    OrganizationNilesh Patel
    Address251 N Lyerly St
    CityChattanooga
    StateTN
    ZIP37404
    TaxonomyNephrology Physician
    NPI EnumeratedMay 18, 2006

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

    Payer SourceTotal Paid
    Medicare$291.4K
    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.

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…270$270$70.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…540$90$48.2K
    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…340$90$29.1K
    99223The 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…110$130$14.2K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…310$50$14.2K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.310$40$12.3K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…330$40$11.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…90$130$11K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.270$40$9.6K
    93975The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…50$190$9.1K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9096024130170$260$49.1K
    992142,30111,370120$80$16.6K
    992331062,63090$90$13.1K
    99490104400130$40$11.7K
    9096111713040$210$11.7K
    992323,3433,990100$60$11.4K
    994584890110$30$11.4K
    9945731150110$30$10.5K
    9945433140110$30$9K
    992156102,71040$110$8.3K

    Showing 1–10 of 42

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brant HoltTNNephrology Physician$396.5K$0
    Cameron GolightlyTNNephrology Physician$382.4K$0
    Rohit GuptaTNNephrology Physician$368.2K$0
    Nathan ChamberlainTNNephrology Physician$366.8K$0
    Hans YehnertTNNephrology Physician$358.5K$0
    John MccarleyTNNephrology Physician$333.9K$0
    Nilesh PatelTNRadiation Oncology Physician$329.6K$0
    Christopher PooleTNNephrology Physician$322.4K$0
    Ralph StaffordTNNephrology Physician$320.9K$0
    Christopher MeshbergerTNNephrology Physician$309K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parkridge Medical Center, Inc.TNGeneral Acute Care Hospital$0$26.8M
    County Of HamiltonTNLand Ambulance$3.2M$10.4M
    Orange Grove Center, Inc.TNDevelopmentally Disabled Services Day Training Agency$0$7.8M
    Memorial Health Care System Inc.TNGeneral Acute Care Hospital$0$4.1M
    Mark WomackTNHematology & Oncology Physician$2.4M$0
    Bertrand AnzTNHematology & Oncology Physician$2.4M$0
    Erlanger Behavioral Health, LLCTNPsychiatric Hospital$0$2.2M
    Derek HollandTNHematology & Oncology Physician$2M$0
    Gregory SuttonTNHematology & Oncology Physician$1.6M$0
    Edward ArrowsmithTNHematology & Oncology Physician$1.4M$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. Tennessee Distribution
    Nilesh Patel — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee