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    OpenPayerNPI Medicare & MedicaidPritesh Patel
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    Pritesh Patel — Billing Profile & Reimbursement Data

    NPI 1194969857 · Milwaukee, WI · Diagnostic Radiology Physician

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    Pritesh Patel is a diagnostic radiology physician provider located in Milwaukee, Wisconsin. This profile covers 14 Medicare and 10 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
    OrganizationPritesh Patel
    Address9200 W Wisconsin Ave
    CityMilwaukee
    StateWI
    ZIP53226
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedApril 26, 2009

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

    Payer SourceTotal Paid
    Medicaid$109K
    Medicare$53.3K

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The 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.200$70$13.9K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.100$80$7.8K
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…170$40$6.3K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.110$40$4.2K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…120$30$3.6K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.90$40$3.3K
    74176The 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.50$70$3.2K
    72197In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.40$70$3.1K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…30$90$2.7K
    74174In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a…30$80$2.1K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7417783550100$70$8.5K
    74183715030$90$4.1K
    7417621450040$60$3.4K
    721973011030$80$3K
    712606746050$40$2.7K
    741784219020$100$2.4K
    741745918020$100$2.4K
    765362128030$30$1.1K
    76770636030$30$1.1K
    76377616020$30$930

    Showing 1–10 of 14

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The 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.1,430$40$55.7K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.90$160$14.2K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…760$20$11.4K
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.2,120$1$8.5K
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…230$30$6.4K
    74176The 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.130$30$4.5K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.80$40$2.8K
    74174In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a…50$50$2.8K
    74230The provider visualizes and records the patient’s swallowing pattern using barium sulfate contrast and cineradiography/videoradiography; scout neck films and delayed images may be obtained and, if…80$20$1.6K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.40$30$1.3K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Wisconsin median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74177The 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.97220980$80$210.3K
    74176The 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.79160130$70$54.9K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.69100200$60$44.5K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.82060$100$43K
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…45140300$40$41.1K
    74230The provider visualizes and records the patient’s swallowing pattern using barium sulfate contrast and cineradiography/videoradiography; scout neck films and delayed images may be obtained and, if…82080$70$39K
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…2660180$60$34.8K
    74174In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a…810200$70$27.6K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.3350120$40$18.6K
    74018Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.26150200$10$13K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Medical College Of Wisconsin, Inc.WIInternal Medicine Physician$17.8K$74.8M
    Froedtert &the Medical College Of Wisconsin Community Physicians, Inc.WIInternal Medicine Physician$1.2M$13.9M
    Ayman RawdaILPediatrics Physician$0$15M
    Lake Hospital System IncOHFamily Medicine Physician$0$6.9M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Mazen RachidILPediatrics Physician$0$5.1M
    Sidney SchechetMDRetina Specialist (Ophthalmology) Physician$4.2M$0
    The University Of Chicago Medical CenterILGeneral Acute Care Hospital$0$3.5M
    Anna MackinVARetina Specialist (Ophthalmology) Physician$3.1M$0
    Mohamed FarhatINMedical Oncology Physician$2.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Hospital Of Wisconsin, Inc.WIChildren's Hospital$0$262.3M
    Froedtert Memorial Lutheran Hospital, Inc.WIGeneral Acute Care Hospital$0$157.8M
    Emergency Medicine Specialists, S.c.WIEmergency Medicine Physician$0$35.3M
    Wisconsin Diagnostic Laboratories LLCWIClinical Medical Laboratory$2.3M$22.7M
    Childrens Hospital Of Wisconsin, Inc.WIPediatrics Physician$0$19M
    Children's Hospital And Health System, Inc.WIUrgent Care Clinic/Center$0$17.7M
    Option Care Home Care IncWIPharmacy$0$12.5M
    Curative Care Network, Inc.WIRehabilitation Clinic/Center$0$12.2M
    Children's Specialty Group, Inc.WIPediatrics Physician$0$10.4M
    Brian BlocherWIOral & Maxillofacial Surgery (D.M.D.)$0$5.5M

    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. Wisconsin Distribution
    Pritesh Patel — 4 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Pritesh Patel — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin