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    OpenPayerNPI Medicare & MedicaidAnand Patel
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    Anand Patel — Billing Profile & Reimbursement Data

    NPI 1043503972 · Belleville, IL · Gastroenterology Physician

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    Anand Patel is a gastroenterology physician provider located in Belleville, Illinois. This profile covers 10 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAnand Patel
    Address4500 Memorial Dr
    CityBelleville
    StateIL
    ZIP62226
    TaxonomyGastroenterology Physician
    NPI EnumeratedMay 25, 2011

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

    Payer SourceTotal Paid
    Medicare$46.9K
    Medicaid$5.7K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99222The 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…250$110$26.3K
    99232The 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…70$60$4.7K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.50$90$3.9K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.40$90$3.4K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…20$130$2.8K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…10$150$1.8K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…20$70$1.3K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…30$40$1.3K
    43273During a separately reportable endoscopic retrograde cholangiopancreatography, or ERCP, the provider uses a flexible tube to visualize one or more pancreatic or common bile ducts.10$100$1.2K
    74328In this procedure, the provider performs imaging supervision and interpretation, S&I, for a separately reportable endoscopic biliary duct catheterization. The provider X–rays the biliary ducts during…10$20$230

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538064667050$160$12.7K
    992324,4837,96090$60$12.4K
    4323943568070$110$9.6K
    992221125,73030$100$5.3K
    4537816234020$180$5.1K
    4327351050$100$3.9K
    992311,2042,14040$40$2.8K
    432354226020$100$2.6K
    992215261,03020$60$2K
    74328536030$20$620

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99254The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…80$70$5.1K
    99222The 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…10$40$500

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99222The 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…1,2521,33050$50$12.7K
    99254The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…9931040$60$8.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Physician Groups LcMOMulti-Specialty Clinic/Center$0$9.8M
    Southwest Medical CenterKSGeneral Acute Care Hospital$0$1.3M
    Ahsan UsmanILHospitalist Physician$306.9K$417.5K
    Alexander RyanILDiagnostic Radiology Physician$128.6K$564K
    Louba LaurieILDiagnostic Radiology Physician$184.7K$453.6K
    Pramod MenonLAInterventional Cardiology Physician$586.2K$0
    Michael FriedmanILDiagnostic Radiology Physician$145.5K$436.8K
    Southwest Medical CenterKSSurgery Physician$0$578.8K
    Chester HarrisonILDiagnostic Radiology Physician$178.2K$383.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mission Care Of Illinois LLCILLand Ambulance$1.8M$12.7M
    Gateway Foundation, Inc.ILSubstance Use Disorder Rehabilitation Clinic/Center$0$3.2M
    Christian Social Services Of IllinoisILMental Health Clinic/Center (Including Community Mental Health Center)$0$3M
    Steve MusickILDermatology Physician$1.3M$0
    Eric MannILOphthalmology Physician$950.6K$0
    Enrique PeraltaILOphthalmology Physician$672.2K$196.3K
    Eye Surgery Center, LLCILAmbulatory Surgical Clinic/Center$807.6K$80
    Parvish ShahILDiagnostic Radiology Physician$111.5K$422.7K
    Gary VicikILSpecialist$480.9K$0
    Michael FazioILDiagnostic Radiology Physician$294.3K$184.3K

    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. Illinois Distribution
    Anand Patel — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Anand Patel — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois