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 North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Romil Patel (NPI 1164728820)

Field	Value
Entity Type	Individual
Organization	Romil Patel
Address	5225 23rd Ave S
City	Fargo
State	ND
ZIP	58104
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	January 28, 2011

Payer Source	Total Paid
Medicare	$436.9K
Medicaid	$0

Key Findings

This provider’s Medicare activity is the dominant and effectively sole payer footprint: total Medicare revenue is $436.9K while there is no Medicaid billing on file, so the practice should be considered functionally single-payer (Medicare) for public program exposure and negotiation leverage. The absence of any Medicaid claims suggests limited participation in state Medicaid networks or a patient mix skewed away from Medicaid populations.

Revenue is highly concentrated in a small number of imaging services: the top 3 Medicare codes account for 55.7% of this provider’s total Medicare revenue, driven by 78815 (29.2%), 77067 (18.8%), and 77063 (7.7%). This concentration means that changes in utilization or reimbursement for PET/CT and mammography services could materially affect overall Medicare revenue.

The code mix indicates a multi-modality diagnostic radiology operation with particular emphasis on oncologic PET/CT and breast imaging. High-revenue codes include PET/CT (78815) and its associated tracer A9552, plus screening and diagnostic mammography (77067, 77063), while the broader list also contains CT (74177, 71250), MRI (73721, 73221, 74183), DXA (77080), and nuclear medicine (78315), consistent with an outpatient imaging center or radiology group offering both cancer staging and routine imaging.

Competitive standing for the largest revenue drivers is upper-middle nationally but described as typical: 78815 ranks #1294 of 6566 (80th percentile; typical, unremarkable volume for this code), 77067 ranks #3562 of 15198 (77th percentile; typical, unremarkable volume for this code), and 77063 ranks #3414 of 14277 (76th percentile; typical, unremarkable volume for this code). In other words, the practice is not an outlier leader nationally on these codes but maintains solid, above-median volumes within the peer set.

For some basic imaging services the provider shows relatively high throughput compared with national peers: 71250 (CT thorax without contrast) is at the 89th percentile and 71046 (two-view chest x-ray) is at the 97th percentile, both described as typical, unremarkable volume for those codes. These high percentiles for chest x‑ray and CT suggest steady volume in common acute and screening imaging that complements the higher-revenue oncology and breast work.

There is heterogeneity across specialized nuclear medicine and advanced PET codes: 78816 (PET/CT with higher per-claim paid/claim) ranks #1246 of 1983 (34th percentile; typical, unremarkable volume for this code) and 78315 (three‑phase bone scan) shows lower comparative ranks among a small national pool, indicating modest utilization of some niche nuclear medicine procedures relative to peers. This pattern implies the practice performs a mix of high-volume routine imaging and more selective advanced studies.

The provider has an established billing history with an NPI enumerated on 2011-01-28 (~15 years ago), indicating a sustained presence in the Medicare claims stream; that tenure supports the interpretation that observed volumes reflect ongoing service lines rather than a transient billing spike. Longevity combined with the concentrated revenue mix points to a stable, focused diagnostic radiology operation.

From a business-risk perspective, the combination of single-payer Medicare reliance and revenue concentration in PET/CT and mammography creates sensitivity to utilization shifts or reimbursement changes for those modalities. Conversely, the diversified modality mix (CT, MRI, DXA, ultrasound, PET, nuclear medicine) provides operational flexibility to shift focus if payer or demand dynamics change, but the lack of Medicaid revenue should be considered when evaluating population coverage, vendor contracting, or participation in state safety-net arrangements.

Medicare: Complete Services Breakdown

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

80 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	160	$700	$111K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	580	$120	$71.5K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	570	$50	$29.4K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	250	$110	$27.8K
78816	The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…	20	$1,190	$22.6K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	230	$50	$11.4K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	150	$70	$9.6K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	110	$80	$8.4K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	80	$100	$8.2K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	100	$80	$7.8K

Showing 1–10 of 80

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 80 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Romil Patel — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

80 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9552	2	10	490	$290	$141.5K
78815	5	30	70	$260	$27.1K
77067	19	70	360	$50	$23.5K
77063	19	60	340	$30	$13.1K
74177	21	70	110	$70	$9.7K
70553	62	40	50	$90	$8.7K
96374	6	10	70	$30	$5.1K
70450	57	60	160	$30	$4.9K
72148	42	50	60	$60	$4.9K
74176	17	60	60	$60	$4.3K

Showing 1–10 of 80

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Advanced Radiology Services PC	MI	Diagnostic Radiology Physician	$0	$60M
Sanford Medical Center Fargo	ND	General Acute Care Hospital	$0	$50.2M
Sanford Health Of Northern Minnesota	MN	Rural Acute Care Hospital	$0	$47.6M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Osf Healthcare System	IL	Durable Medical Equipment & Medical Supplies	$0	$16.7M
Sanford Health Of Northern Minnesota	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.1M
Ayman Rawda	IL	Pediatrics Physician	$0	$15M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Therapy Partners, Inc.	ND	Early Intervention Provider Agency	$0	$7M
Marina Gilca	ND	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Fargo Maple View LLC	ND	Alzheimer Center (Dementia Center)	$0	$4M
Beyond Boundaries Occupational Therapy, Inc.	ND	Multi-Specialty Clinic/Center	$0	$3.9M
Max Johnson	ND	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
St. Sophie's, LLC	ND	Adolescent and Children Mental Health Clinic/Center	$0	$2.7M
Shangri-la Home Care	ND	Home Health Agency	$0	$2M
Beyond Boundaries Speech Language Therapy, Inc.	ND	Speech-Language Pathologist	$0	$2M
About Smiles Dental, LLC	ND	Dental Clinic/Center	$0	$1.7M
Center For Pain Medicine Surgery Center LLC	ND	Ambulatory Surgical Clinic/Center	$1.2M	$0

Romil Patel — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References