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    OpenPayerNPI Medicare & MedicaidApoor Patel
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    Apoor Patel — Billing Profile & Reimbursement Data

    NPI 1104877687 · Sugar Land, TX · Clinical Cardiac Electrophysiology Physician

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    Apoor Patel is a clinical cardiac electrophysiology physician provider located in Sugar Land, Texas. This profile covers 31 Medicare and 1 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
    OrganizationApoor Patel
    Address16605 Southwest Freeway
    CitySugar Land
    StateTX
    ZIP77479
    TaxonomyClinical Cardiac Electrophysiology Physician
    NPI EnumeratedMay 12, 2006

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

    Payer SourceTotal Paid
    Medicare$416.7K
    Medicaid$70

    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
    93656A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…70$710$50.8K
    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…380$90$35K
    93655In this procedure, the provider tests the electrical activity in the heart after an ablation procedure, to test its effectiveness and identify any other areas responsible for an abnormal rhythm. He…130$230$29.9K
    33340The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography…50$570$27K
    93657In this procedure, the provider uses radiofrequency energy to treat an additional source of atrial fibrillation, an abnormal heart rhythm, following a radiofrequency ablation procedure.110$230$24.6K
    33208The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.60$380$21.8K
    99205The provider sees a new 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 provider…140$160$21.3K
    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…320$60$19.3K
    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…150$130$18.6K
    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…140$130$17.4K

    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
    332852013020$1,660$36.6K
    33249548010$2,110$33.8K
    936561715030$720$28.1K
    332081125020$800$20.9K
    992333,2869,320100$90$17.9K
    992145,45532,500110$80$17.6K
    333402113020$560$16.7K
    992322,55211,790100$60$15.8K
    93653119020$640$12.1K
    9365759030$240$9.7K

    Showing 1–10 of 31

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.30$1$60

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.420490470$1$17.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bincy AbrahamTXGastroenterology Physician$988.4K$0
    B EllisTXCardiovascular Disease Physician$578K$0
    Anna KaganTXNephrology Physician$541.3K$0
    Kesavan ShanTXCardiovascular Disease Physician$530.9K$0
    Rajesh AminTXDiagnostic Radiology Physician$509.1K$0
    Barry TrachtenbergTXAdvanced Heart Failure and Transplant Cardiology Physician$478.6K$0
    Ruchita PatelTXFamily Medicine Physician$453.7K$0
    Timothy WagnerTXRadiation Oncology Physician$445.8K$0
    Sanjay KunapuliTXInterventional Cardiology Physician$436K$0
    Raziuddin AhmedTXPulmonary Disease Physician$431.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Consolidated Home Health Holdings, LLCTXHome Health Agency$0$23.3M
    Fort Bend IsdTXLocal Education Agency (LEA)$0$19.3M
    Brent EatonTXAcute Care Nurse Practitioner$5.9M$0
    David AmranTXAllergy & Immunology Physician$2.8M$0
    Tieu Vy NguyenTXOphthalmology Physician$2.8M$0
    Memorial Hermann Surgery Center Sugar Land LLPTXAmbulatory Surgical Clinic/Center$1.8M$0
    Ryan ValicekTXRheumatology Physician$964.7K$0
    Salman AlyTXInternal Medicine Physician$923.9K$0
    Swati JoglekarTXGeriatric Medicine (Internal Medicine) Physician$910.9K$0
    Matthew McmenemyTXOphthalmology Physician$826.9K$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. Texas Distribution
    Apoor Patel — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Apoor Patel — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas