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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNayneshkumar Patel
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    Nayneshkumar Patel — Billing Profile & Reimbursement Data

    NPI 1154539807 · Hot Springs, AR · Critical Care Medicine (Internal Medicine) Physician

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    Nayneshkumar Patel is a critical care medicine (internal medicine) physician provider located in Hot Springs, Arkansas. This profile covers 13 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
    OrganizationNayneshkumar Patel
    Address1900 Malvern Ave Ste 302
    CityHot Springs
    StateAR
    ZIP71901
    TaxonomyCritical Care Medicine (Internal Medicine) Physician
    NPI EnumeratedMay 18, 2007

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

    Payer SourceTotal Paid
    Medicare$239.6K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,070$90$91.8K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…380$160$58.1K
    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…280$120$33.6K
    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…230$120$28.3K
    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…170$60$9.7K
    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…60$150$9.6K
    31624In this procedure, the provider uses a rigid or flexible bronchoscope for bronchial alveolar lavage, a procedure using saline solution to wash the cells from alveoli, the air sacs at the end of the…60$70$3.6K
    31645The provider uses a rigid or flexible bronchoscope to view the airways and aspirates (sucks out) fluid from the tracheobronchial tree, the branched distribution of airways of the lung that includes…20$110$1.6K
    32555In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter.  He performs the procedure using imaging guidance.10$80$960
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…90$10$790

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9923319960130$90$18.2K
    992325991,450130$60$14.7K
    992912361050$160$13.8K
    99223751,17050$120$10.6K
    992155487030$110$8.5K
    992057545030$140$5.5K
    32555667030$100$3K
    31645172030$90$2.8K
    947293970100$20$2.6K
    947263050100$20$1.9K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Conway Regional Medical Center IncARGeneral Acute Care Hospital$0$10.6M
    Ashok MuthukrishnanFLNuclear Radiology Physician$3.9M$129.2K
    Daniel LinPAFamily Medicine Physician$127.1K$2.4M
    Nicholas DzeboloCAInterventional Cardiology Physician$2.2M$170
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Anjaly CurleyAZDiagnostic Radiology Physician$1.7M$0
    Arkansas Healthcare Services LLCARUrology Physician$0$1.7M
    Amit KhanejaNYClinical Neurophysiology Physician$1.3M$301K
    Don WynnTXPulmonary Disease Physician$1.4M$0
    George LinPAAnatomic Pathology & Clinical Pathology Physician$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    First Step, Inc.ARDevelopmentally Disabled Services Day Training Agency$0$128.9M
    Counseling Clinic, Inc.ARCommunity/Behavioral Health Agency$0$9.7M
    Blayne Tipton Dds PAARPediatric Dentistry$0$9.2M
    Hot Springs Pediatric Clinic,p.a.ARPediatrics Physician$0$7.5M
    Hot Springs National Park Hospital Holdings LLCARGeneral Acute Care Hospital$0$6.4M
    New Hope Therapy LLCARMulti-Specialty Clinic/Center$0$5.3M
    It's About You, LLCARIn Home Supportive Care Agency$0$5M
    Krm ManagementARHome Health Agency$0$3.2M
    Stephanie J. Baldwin, D.d.s., P.A.ARPediatric Dentistry$0$3M
    Kidsource Therapy Group, LLCARRehabilitation Clinic/Center$0$3M

    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. Arkansas Distribution
    Nayneshkumar Patel — 3 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas