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    OpenPayerNPI Medicare & MedicaidHarshad Patel
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    Harshad Patel — Billing Profile & Reimbursement Data

    NPI 1093770018 · Rainbow City, AL · Internal Medicine Physician

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    Harshad Patel is a internal medicine physician provider located in Rainbow City, Alabama. This profile covers 20 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
    OrganizationHarshad Patel
    Address207 E Grand Ave
    CityRainbow City
    StateAL
    ZIP35906
    TaxonomyInternal Medicine Physician
    NPI EnumeratedApril 20, 2006

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

    Payer SourceTotal Paid
    Medicare$226K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,090$60$125.5K
    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…360$80$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…190$130$24.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit100$120$11.8K
    99213The 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…140$60$8.3K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…20$210$5K
    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…50$90$4.1K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.240$10$3.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.270$10$2.2K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…260$10$2K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,3797,330120$80$16.8K
    992331,2951,86080$90$13.4K
    99232212,530100$60$13.3K
    80061165590120$10$12.1K
    G04395671,52070$120$11K
    992231512,14040$130$8.1K
    992131,9926,47080$50$7.9K
    850253021,020110$10$5.9K
    9949610730020$200$4.9K
    364153931,550100$10$4.8K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Audrey CarsonALFamily Nurse Practitioner$29.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Etowah PediatricsALPediatrics Physician$0$4.8M
    Amedisys Hospice, L.L.C.ALCommunity Based Hospice Care Agency$0$2.3M
    Daniel SparksALOrthopaedic Surgery Physician$121.9K$0
    Michael CazenaveALPhysical Therapist$114.5K$0
    John PadulaALPodiatrist$84.1K$0
    Danny SparksALOrthopaedic Surgery Physician$76.1K$0
    Alabama Cvs Pharmacy, L.L.C.ALPharmacy$66.8K$0
    Jordan HolderALFamily Nurse Practitioner$51.6K$0
    Erin SparksALPhysical Therapist$37.8K$0
    Jason JunkinsALInternal Medicine Physician$36K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Harshad Patel — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama