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NPI 1184705535 · Sicklerville, NJ · Internal Medicine Physician
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Prahlad Patel is a internal medicine physician provider located in Sicklerville, New Jersey. This profile covers 12 Medicare and 27 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Prahlad Patel |
| Address | 600 Cross Keys Rd |
| City | Sicklerville |
| State | NJ |
| ZIP | 08081 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | October 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.6M |
| Medicare | $133.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 410 | $100 | $39.8K |
| 99213 | The 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… | 530 | $70 | $34.6K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 150 | $140 | $20.6K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 740 | $30 | $20K |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 110 | $30 | $3.6K |
| G0008 | Administration of influenza virus vaccine | 110 | $30 | $3.6K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 420 | $10 | $3.4K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 40 | $70 | $2.8K |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 10 | $180 | $2.3K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 90 | $20 | $1.4K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 2,649 | 13,640 | 130 | $90 | $23.6K |
| 99213 | 1,179 | 14,090 | 100 | $70 | $13.1K |
| G0439 | 715 | 3,370 | 70 | $120 | $11.5K |
| 36415 | 348 | 2,200 | 110 | $10 | $11.1K |
| 93922 | 148 | 290 | 40 | $60 | $3.9K |
| 99212 | 28 | 3,450 | 40 | $40 | $3.6K |
| G0008 | 1,081 | 4,290 | 50 | $30 | $3K |
| G0402 | 362 | 570 | 20 | $170 | $2.9K |
| 93000 | 2,022 | 3,440 | 50 | $10 | $2.1K |
| G0180 | 301 | 380 | 20 | $40 | $1.4K |
Showing 1–10 of 12
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
27 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 13,120 | $50 | $590.3K |
| 99214 | The 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… | 6,390 | $60 | $377K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 8,080 | $30 | $218K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 2,690 | $80 | $204.6K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 950 | $80 | $70.9K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 3,200 | $10 | $41.5K |
| 99204 | The provider sees a new 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 provider… | 190 | $110 | $21.1K |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 1,200 | $20 | $19.2K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 990 | $10 | $11.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 5,200 | $1 | $10.4K |
Showing 1–10 of 27
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
27 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 384 | 4,450 | 740 | $40 | $229.8K |
| 99214 | The 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… | 401 | 3,790 | 580 | $60 | $204K |
| 99204 | The provider sees a new 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 provider… | 459 | 1,160 | 110 | $110 | $79.7K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 62 | 1,520 | 260 | $40 | $71.9K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 59 | 660 | 190 | $30 | $42.6K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 79 | 530 | 120 | $80 | $39.3K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 17 | 510 | 110 | $70 | $32.1K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 415 | 550 | 310 | $10 | $21.1K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 135 | 920 | 510 | $1 | $19.3K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 298 | 1,080 | 270 | $10 | $19.1K |
Showing 1–10 of 27
Other providers in the same ZIP code as Prahlad Patel, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Jeffrey Cox | NJ | Professional Counselor | $0 | $16.6M |
| Nicholas Palladino | NJ | Internal Medicine Physician | $681.3K | $0 |
| Nicholas Depace | NJ | Cardiovascular Disease Physician | $522.3K | $0 |
| Daniel D'auria | NJ | Gastroenterology Physician | $105.9K | $56.6K |
| Lucille Miller | NJ | Family Nurse Practitioner | $146.1K | $0 |
| Sandra Winiewicz | NJ | Foot & Ankle Surgery Podiatrist | $92.8K | $0 |
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