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

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

Pankaj Patel (NPI 1053374256)

Field	Value
Entity Type	Individual
Organization	Pankaj Patel
Address	3581 S Highlands Ave
City	Sebring
State	FL
ZIP	33870
Taxonomy	Gastroenterology Physician
NPI Enumerated	April 10, 2006

Payer Source	Total Paid
Medicare	$324.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45380	The 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…	720	$110	$75.1K
99233	The 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…	600	$90	$56.4K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	260	$200	$50.9K
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…	270	$140	$36.2K
43239	The 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.	650	$50	$33K
43248	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…	220	$110	$24.3K
91110	The provider performs a capsule endoscopy for gastrointestinal tract imaging from esophagus to ileum. He interprets the results and prepares a report for this service.	20	$560	$13.5K
43259	An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During this procedure, the physician uses endoscopic…	50	$170	$8.5K
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…	110	$60	$7.1K
43255	An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding.	30	$150	$5K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Pankaj Patel — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
46500	6	10	50	$230	$46.6K
45385	89	1,140	60	$300	$31K
99214	28,668	32,760	140	$90	$25K
99233	790	9,970	100	$90	$20.1K
45380	15	1,160	50	$200	$18.7K
99232	12,609	13,090	120	$60	$17.5K
43239	35	1,260	80	$130	$16.8K
99223	716	11,110	60	$130	$12.5K
99213	12,654	30,010	80	$60	$12K
43248	10	230	30	$180	$9.9K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mike Nickless	FL	Certified Registered Nurse Anesthetist	$122.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
National Medical Care, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.5M
F&s Radiology, P.C.	FL	Diagnostic Radiology Physician	$0	$7.5M
Highlands County Board Of County Commissioners	FL	Land Ambulance	$1.7M	$1.8M
Scott Gasiorek	FL	Radiation Oncology Physician	$3M	$0
Darrin Rotman	FL	Dermatology Physician	$2.7M	$0
Mahender Yellu	FL	Medical Oncology Physician	$2.6M	$0
Amit Shah	FL	Medical Oncology Physician	$2M	$0
Syed Ahmed	FL	Medical Oncology Physician	$1.2M	$0
Thomas Lackey	FL	Surgery Physician	$1.1M	$61.7K
Winter Haven-sebring Fl Ophthalmology Asc LLC	FL	Ambulatory Surgical Clinic/Center	$923K	$0

Pankaj 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