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

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

Hejal Patel (NPI 1174746168)

Field	Value
Entity Type	Individual
Organization	Hejal Patel
Address	4274 W Main St
City	Dothan
State	AL
ZIP	36305
Taxonomy	Radiation Oncology Physician
NPI Enumerated	April 10, 2007

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Key Findings

This provider bills almost exclusively to Medicare (Total Medicare revenue: $2.2M) and has no Medicaid billing on file, making the practice effectively single‑payer with Medicare representing the full recorded public revenue stream. The top three Medicare codes by revenue account for 60.8% of the provider's total Medicare revenue, indicating material concentration of income in a small set of procedural services.

Revenue is highly concentrated in a few treatment‑delivery codes: G6015 ($911.7K; 40.8%), 77014 ($235.6K; 10.5%), and G6012 ($211.9K; 9.5%) together make up the precomputed 60.8% share. That mix shows the provider’s commercial value is driven primarily by high‑volume radiation treatment delivery sessions rather than by a broad basket of low‑value ancillary services.

The code mix and descriptions point to an operational focus on advanced external beam and intensity‑modulated radiation therapy (IMRT): large revenue from G6015 and G6012 (treatment delivery) alongside significant billing for IMRT planning and dosimetry codes such as 77301 and 77300 suggest a practice structured around high‑throughput, technology‑intensive radiation therapy. Supporting technical services are present too — for example, 77336 (ongoing medical physics consultation) and 77338 (MLC design) appear in the top codes, consistent with an operation that supplies both planning and delivery capacity.

On competitive standing, the provider is a high‑volume national outlier for several leading codes: G6015 ranks #26 of 1429 providers nationally (98th percentile; extreme outlier), 77014 ranks #65 of 4303 (99th percentile; extreme outlier), and 77300 ranks #5 of 4719 (100th percentile; extreme outlier). These rankings indicate this provider operates at materially higher volumes than typical national peers for key radiation therapy procedures and is a dominant contributor for those CPT/HIPC PCS codes at the national level.

Beyond the top three, the practice shows breadth across technical radiation services — for example, 77336 ($61.3K; 2.7%) ranks #14 of 1488 (99th percentile; extreme outlier) and G6002 ($51.7K; 2.3%) ranks #132 of 2280 (94th percentile; notably above typical). This spread of mid‑range technical codes (simulation, stereoscopic guidance, physics consultation) supports the inference that the practice maintains in‑house physics and image‑guidance capabilities rather than outsourcing those functions.

Evaluation and management (E/M) revenue is a minor component of the Medicare mix: 99204 accounts for $22.6K (1.0%) and 99213/99212 together contribute modest sums ($9.1K and $8.7K respectively). While 99204 ranks #6043 of 227068 providers nationally (97th percentile; notably above typical national volume for that E/M code), the dollar impact is small relative to procedural treatment codes, indicating a treatment‑centric workflow rather than a visit‑heavy oncology clinic.

Provider tenure is long enough to signal an established practice: NPI enumerated on 2007-04-10 (~19 years ago), which suggests sustained participation in Medicare and potential long‑standing operational infrastructure to support high volumes of radiation therapy. That longevity combined with extreme‑outlier volumes for key codes implies institutionalized capacity rather than a transient billing pattern.

The concentration in a narrow set of high‑revenue procedural codes (top 3 = 60.8%) creates both operational leverage and risk: the provider’s strong national rank and extreme‑outlier status for these codes suggest negotiating strength and technical specialization in IMRT and high‑volume treatment delivery, but the business is also materially exposed if clinical practice patterns or Medicare reimbursement for those specific codes change.

Medicare: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	3,620	$250	$911.7K
77014	N/A	2,710	$90	$235.6K
G6012	Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev	1,300	$160	$211.9K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	160	$1,300	$209.5K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	3,350	$50	$160.8K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	970	$140	$139.4K
77336	This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…	1,020	$60	$61.3K
77338	In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…	160	$340	$54.8K
G6002	Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy	980	$50	$51.7K
77373	This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…	70	$710	$46.7K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Hejal Patel — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G6015	1	40	600	$250	$178.4K
77280	19	50	40	$180	$61.8K
G6012	1	20	280	$160	$57.4K
77014	2	60	440	$70	$43.2K
77373	4	10	70	$710	$41.5K
77331	2	10	50	$50	$41.1K
77301	2	60	30	$790	$32.3K
77427	1	70	150	$140	$30.5K
99214	7,023	7,330	120	$80	$16.8K
77336	1	40	150	$60	$12.9K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Constantine Mantz	FL	Therapeutic Radiology Physician	$3.8M	$0
Sonal Sura	FL	Therapeutic Radiology Physician	$3.5M	$3.5K
Timothy Kerwin	FL	Radiation Oncology Physician	$3.4M	$0
Daniel Dosoretz	FL	Radiation Oncology Physician	$2.8M	$0
Patrick Francke	SC	Radiation Oncology Physician	$2.8M	$0
John Sylvester	FL	Radiation Oncology Physician	$2.5M	$0
Michael Hanus	FL	Radiation Oncology Physician	$2.4M	$0
David Zaenger	SC	Radiation Oncology Physician	$2.3M	$0
Andrej Hnatov	NC	Radiation Oncology Physician	$2.3M	$0
Alan Brown	FL	Radiation Oncology Physician	$2.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeastern Pediatric Associates, P.A.	AL	Pediatrics Physician	$0	$17.3M
Professional Resource Management Of Wiregrass, LLC	AL	Psychiatry Physician	$0	$9M
Triad Of Alabama LLC	AL	General Acute Care Hospital	$0	$4.6M
Wiregrass Wellness Center, LLC	AL	Psychiatry Physician	$0	$1.6M
Ent Care PC	AL	Specialist	$0	$866.8K
Circle City Speech, LLC	AL	Speech-Language Pathologist	$0	$852.8K
Kirk Sturridge	AL	Ophthalmology Physician	$715.4K	$0
Alabama Eye Surgery Center LLC	AL	Ambulatory Surgical Clinic/Center	$657.1K	$0
Craig Omohundro	AL	Dermatology Physician	$466.7K	$0
Paul Lamb	AL	Gastroenterology Physician	$431.3K	$0

Hejal Patel — Billing Profile & Reimbursement Data

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Hejal 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