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    OpenPayerNPI Medicare & MedicaidSamir Patel
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    Samir Patel — Billing Profile & Reimbursement Data

    NPI 1174759419 · Newburgh, NY · Hematology & Oncology Physician

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    Samir Patel is a hematology & oncology physician provider located in Newburgh, New York. This profile covers 106 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSamir Patel
    Address611 Gidney Ave
    CityNewburgh
    StateNY
    ZIP12550
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedJune 1, 2009

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

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$60.6K

    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.

    106 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg9,600$40$412.8K
    99214The 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…1,970$110$224.9K
    J0897Injection, denosumab, 1 mg7,680$20$145.9K
    88185The lab analyst performs the technical component of a flow cytometry procedure using cell surface, cytoplasmic, or nuclear markers to characterize cells and aid clinicians in diagnosing patients with…5,180$20$119.2K
    J1439Injection, ferric carboxymaltose, 1 mg95,250$1$95.3K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg2,160$30$73.4K
    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…650$110$71.7K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…1,040$60$58.2K
    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…230$170$38.6K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…290$130$37.5K

    Showing 1–10 of 106

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 106 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    106 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927134609,900$40$505.5K
    J156821302,880$30$113.4K
    J0897734902,820$20$84.4K
    88185211001,210$20$74.9K
    J143999039,750$1$42K
    J0881418013,100$1$41K
    803078212070$60$23.1K
    994901111,210150$50$21K
    J1454144050$340$20.5K
    992149230,45090$100$19K

    Showing 1–10 of 106

    • More pages

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…1,580$30$41.1K
    99213The 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…170$30$4.9K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…490$10$4.4K
    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…290$10$3.8K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…2,000$1$2K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.120$10$1.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1,070$1$1.1K
    J1756Injection, iron sucrose, 1 mg40$10$520
    82728The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…260$1$510
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…80$1$300

    Showing 1–10 of 18

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    18 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The 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…11,56919,110360$70$321K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.321430680$120$299.9K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.3045901,160$20$277.2K
    99214The 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…2,95916,550220$90$186.8K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…1,0091,420300$20$38.8K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…348850960$1$36.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,5035,090450$10$35.9K
    J1756Injection, iron sucrose, 1 mg188200440$20$35.3K
    82728The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…260390730$10$34.6K
    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…6852,620100$50$25.1K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Shore Hematology Oncology Associates PCNYSpecialist$0$61.9M
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Tony AbrahamNYNuclear Radiology Physician$7.6M$442.6K
    Riem BadrNYHematology (Pathology) Physician$8M$2.2K
    Alexander ZuhoskiNYHematology & Oncology Physician$4.4M$45.7K
    Pejman DalaieNYDiagnostic Radiology Physician$3.6M$172.2K
    Esther CoronelNYDiagnostic Radiology Physician$3.3M$162.2K
    Roy ChenNYHematology & Oncology Physician$3.3M$104.3K
    Dimitri KessarisNYUrology Physician$275.7K$2.8M
    David ChuNYHematology & Oncology Physician$3.1M$44.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Independent Home Care, Inc.NYHome Health Agency$0$78M
    Cornerstone Family HealthcareNYFederally Qualified Health Center (FQHC)$181.7K$67.2M
    St. Luke's Cornwall HospitalNYGeneral Acute Care Hospital$0$26.1M
    Ambulnz Ny 2 LLCNYLand Ambulance$2M$2.1M
    Larry KoreenNYOphthalmology Physician$2.2M$196.9K
    Dov SebrowNYRetina Specialist (Ophthalmology) Physician$1.9M$91K
    Glenn GreenNYOphthalmology Physician$1.9M$13.4K
    Syed NasirNYNeurology Physician$762.5K$811.7K
    Rehan AhmadNYEndocrinology, Diabetes & Metabolism Physician$277.6K$508.7K
    Marc RappaportNYHematology & Oncology Physician$347.7K$185.2K

    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. New York Distribution
    Samir Patel — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Samir Patel — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York