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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Shalin Patel (NPI 1124387881)

Field	Value
Entity Type	Individual
Organization	Shalin Patel
Address	1455 Broad St Ste 250
City	Bloomfield
State	NJ
ZIP	07003
Taxonomy	Orthopaedic Surgery of the Spine Physician
NPI Enumerated	May 15, 2012

Payer Source	Total Paid
Medicare	$27.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	190	$70	$13.1K
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…	80	$80	$6.6K
22853	The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…	30	$200	$5.3K
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…	10	$110	$1.4K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	10	$70	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Shalin Patel — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,380	13,640	130	$90	$23.6K
99213	211	14,090	100	$70	$13.1K
99203	64	5,660	40	$80	$4.8K
22853	7	60	30	$140	$4.8K
99221	24	750	20	$70	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tyler Yerkes	DE	Physician Assistant	$1.1M	$0
Wilson Choy	DE	Orthopaedic Surgery Physician	$402K	$0
Pasquale Petrera	MD	Adult Reconstructive Orthopaedic Surgery Physician	$386.5K	$0
Henry Mensack	DE	Physician Assistant	$385.9K	$0
Scott Gelman	MD	Orthopaedic Surgery Physician	$331.8K	$0
James Trauger	MD	Orthopaedic Surgery Physician	$314.2K	$0
Scott Mcgovern	MD	Orthopaedic Surgery of the Spine Physician	$299.8K	$0
Amanda Moore	DE	Physician Assistant	$287.3K	$0
Paul Harriott	DE	Orthopaedic Surgery Physician	$286.4K	$0
Jennifer Hazzard	DE	Physician Assistant	$279.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Partnership For Children Of Essex	NJ	Case Management Agency	$0	$81.2M
Bayada Home Health Care, Inc.	NJ	Home Health Agency	$0	$35.2M
Eye Centers Of America, LLC	NJ	Ophthalmology Physician	$0	$26.4M
Compassionate Care Hospice Of Clifton, LLC	NJ	Community Based Hospice Care Agency	$0	$21.1M
Acadia Home Health Care LLC	NJ	Home Health Agency	$0	$18.6M
Hospice Of New Jersey LLC	NJ	Community Based Hospice Care Agency	$0	$15M
Lee Angioletti	NJ	Ophthalmology Physician	$4M	$0
Hilal Abboushi	NJ	Internal Medicine Physician	$70.3K	$2.5M
Elan Diamond	NJ	Hematology & Oncology Physician	$1.9M	$0
Justin Gutman	NJ	Ophthalmology Physician	$1.8M	$0

Shalin Patel — Billing Profile & Reimbursement Data

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Shalin 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