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NPI 1124053400 · Quincy, IL · Podiatrist
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Shwetal Patel is a podiatrist provider located in Quincy, Illinois. This profile covers 13 Medicare and 4 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Shwetal Patel |
| Address | 1118 Hampshire St |
| City | Quincy |
| State | IL |
| ZIP | 62301 |
| Taxonomy | Podiatrist |
| NPI Enumerated | July 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $117.6K |
| Medicaid | $63K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 1,320 | $30 | $38.2K |
| 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… | 400 | $60 | $24.6K |
| 11720 | The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails. | 660 | $20 | $13.9K |
| 99203 | The provider sees a new 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 provider… | 160 | $70 | $11.1K |
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 110 | $70 | $7.9K |
| 28299 | The provider removes bone from a bunion, a foot deformity that causes a bump near where the big toe joins the foot. The procedure includes double osteotomy, cutting and realigning one or more toe… | 10 | $430 | $6.1K |
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 100 | $50 | $4.6K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 110 | $40 | $4.1K |
| 11750 | The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete. | 30 | $80 | $2.3K |
| 28470 | The provider treats a metatarsal fracture without making a skin incision and without manipulating the fracture. | 10 | $160 | $2K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 11721 | 50 | 640 | 290 | $30 | $15.1K |
| 28299 | 3 | 10 | 20 | $960 | $14.4K |
| 11720 | 59 | 310 | 170 | $20 | $9.9K |
| 99213 | 1,382 | 17,390 | 70 | $60 | $8.8K |
| 97597 | 82 | 330 | 60 | $60 | $5.9K |
| 11730 | 120 | 180 | 20 | $80 | $4.6K |
| 99203 | 338 | 6,150 | 30 | $70 | $3.8K |
| 11750 | 30 | 110 | 20 | $110 | $2.7K |
| 28470 | 7 | 10 | 20 | $160 | $2.5K |
| 99212 | 537 | 3,950 | 30 | $40 | $2.4K |
Showing 1–10 of 13
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 2,100 | $20 | $50.5K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 1,980 | $10 | $9.9K |
| 11720 | The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails. | 300 | $10 | $1.8K |
| 99214 | The 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… | 40 | $40 | $1.5K |
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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 12,140 | 14,680 | 300 | $50 | $48.7K |
| 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… | 1,946 | 14,190 | 280 | $20 | $38.9K |
| 11720 | The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails. | 76 | 130 | 480 | $10 | $9K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 71 | 370 | 400 | $10 | $8.9K |
Other providers in the same ZIP code as Shwetal Patel, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Board Of Trustees Of Southern Illinois University | IL | Federally Qualified Health Center (FQHC) | $0 | $9.4M |
| Blessing Hospital | IL | Rural Health Clinic/Center | $0 | $5.1M |
| International Eyecare Center LLC | IL | Optometrist | $0 | $3.6M |
| Denman Services, Inc. | IL | Durable Medical Equipment & Medical Supplies | $0 | $2.9M |
| Robert Haag | IL | Diagnostic Radiology Physician | $946.5K | $416.5K |
| Muhammad Ali | IL | Hematology & Oncology Physician | $1.2M | $64.9K |
| Travis Moore | IL | Family Medicine Physician | $1.2M | $15.9K |
| Gerald Riley | IL | Diagnostic Radiology Physician | $816.6K | $285.5K |
| Air Evac Ems Inc. | IL | Air Ambulance | $823.9K | $37.7K |
| Ernest Wallace | IL | Family Medicine Physician | $829.9K | $23.3K |
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