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

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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.

Kaushal Patel (NPI 1174637318)

Field	Value
Entity Type	Individual
Organization	Kaushal Patel
Address	200 W Church St
City	Lexington
State	TN
ZIP	38351
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 17, 2006

Payer Source	Total Paid
Medicare	$66.3K
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
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	220	$130	$27.6K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	260	$80	$21.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	270	$50	$13K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	100	$30	$3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	140	$10	$820

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. Tennessee Distribution

Kaushal Patel — 3 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	297	1,320	100	$130	$17.9K
99284	13	1,350	70	$80	$6.6K
93010	432	990	110	$10	$1.9K
99283	2	660	20	$50	$1.3K
99282	2	60	20	$30	$620

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Coverage, LLC	TN	Family Medicine Physician	$0	$121.9M
Jackson Madison County General Hospital	TN	General Acute Care Hospital	$0	$46.6M
Emergency Medical Care Facilities PC	TN	Emergency Medicine Physician	$0	$19.7M
Jackson-madison County General Hospital	TN	Land Ambulance	$5.1M	$13M
West Tennessee Medical Group Inc	TN	Internal Medicine Physician	$0	$8.2M
Jackson-madison County General Hospital	TN	Community/Retail Pharmacy	$0	$7.4M
Stephen Huddleston	TN	Retina Specialist (Ophthalmology) Physician	$5.7M	$0
Wt Medical Associates	TN	Rural Health Clinic/Center	$0	$5.5M
Wt Medical Associates	TN	Internal Medicine Physician	$0	$4.9M
Lexington Hospital Corporation	TN	General Acute Care Hospital	$0	$4.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lentz Pediatrics, Plc	TN	Rural Health Clinic/Center	$0	$4.9M
Beech Lake Pediatric Dentistry, Plc	TN	Pediatric Dentistry	$0	$3.2M
Ambulance Services Of Lexington, Inc.	TN	Land Ambulance	$1.1M	$2M
Delta Clinics, Plc	TN	Cardiovascular Disease Physician	$0	$2.6M
Goodwin Childrens Clinic, Plc	TN	Primary Care Clinic/Center	$0	$2.3M
Lexington Hospital Corporation	TN	Emergency Medicine Physician	$0	$2.2M
Reggie Henderson	TN	Family Medicine Physician	$223.9K	$80
S D M Inc	TN	Community/Retail Pharmacy	$129.8K	$20
David Waters	TN	Family Medicine Physician	$89.9K	$0
Patricia Kirk	TN	Foot Surgery Podiatrist	$65K	$20.8K

Kaushal Patel — Billing Profile & Reimbursement Data

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Kaushal 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