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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPravin Patel
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    Pravin Patel — Billing Profile & Reimbursement Data

    NPI 1124098603 · Coldwater, MS · Family Medicine Physician

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    Pravin Patel is a family medicine physician provider located in Coldwater, Mississippi. This profile covers 60 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
    OrganizationPravin Patel
    Address423 Central Ave
    CityColdwater
    StateMS
    ZIP38618
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJanuary 25, 2006

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

    Payer SourceTotal Paid
    Medicare$399.2K
    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.

    60 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,020$80$167.8K
    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…1,190$60$71.1K
    J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg1,990$10$25.8K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…1,350$10$12.1K
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…130$90$11.9K
    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…80$120$9.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.970$10$7.7K
    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…30$200$6.6K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…140$40$6.2K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…40$150$5.7K

    Showing 1–10 of 60

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 60 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    60 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J330418303,090$10$69.4K
    93306194210290$80$27.8K
    99214284,110170$70$21.9K
    J3490202090$150$17.8K
    99490239330200$40$15.2K
    G043975681070$110$14.4K
    99213684,000100$50$10.3K
    994965817030$170$10.2K
    9921525090040$110$9K
    9067740748020$280$8.7K

    Showing 1–10 of 60

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pravinchandra P. Patel, Md P.C.MSFamily Medicine Physician$0$2.2M
    Jennifer MckeeTNFamily Nurse Practitioner$986.3K$0
    Jessica MannMSFamily Nurse Practitioner$124.1K$0
    Teresa SmithMSFamily Nurse Practitioner$79.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Mississippi Adult Day Care Services LLCMSAdult Day Care Clinic/Center$0$1.8M
    Amy WhiteMSAdvanced Practice Midwife$303.8K$0
    Rebekah OverstreetMSFamily Nurse Practitioner$84.4K$0
    Rhetta ConnMSOptometrist$54K$30.3K
    Edward PhelpsMSCertified Registered Nurse Anesthetist$5.7K$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. Mississippi Distribution
    Pravin Patel — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi