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

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

Anjali Patel (NPI 1215682075)

Field	Value
Entity Type	Individual
Organization	Anjali Patel
Address	1801 S Highland Ave Ste 220
City	Lombard
State	IL
ZIP	60148
Taxonomy	Physician Assistant
NPI Enumerated	February 18, 2022

Payer Source	Total Paid
Medicare	$16.9K
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
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	40	$130	$5.5K
31296	The provider passes an endoscope through the nasal cavity of the patient to bring about dilation of the ostium, or opening, of the frontal sinus.	20	$270	$4K
31295	The provider passes an endoscope into the nasal cavity of the patient. He also dilates the ostium, or opening, of the maxillary sinus. The approach is either through the nose or via a depression on…	20	$250	$3.8K
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…	20	$110	$2.5K
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…	20	$60	$1.1K

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. Illinois Distribution

Anjali Patel — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
31295	12	20	20	$1,480	$39.9K
31296	9	10	20	$1,350	$37.9K
31231	153	240	60	$130	$12.5K
99213	15,802	17,390	70	$60	$8.8K
99204	5,376	8,580	30	$110	$5.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salil Doshi	IL	Otolaryngology Physician	$347K	$54.4K
Richard Schmidt	WI	Otolaryngology Physician	$367.6K	$3.7K
Ethan Handler	WI	Otolaryngology Physician	$329.7K	$0
Justin Wittkopf	IL	Otolaryngology Physician	$283.8K	$1.4K
Ronald Schroeder	TN	Otolaryngology Physician	$224.1K	$0
Christopher Lee	WI	Otolaryngology Physician	$174.6K	$22.2K
Jennifer Hsia	MN	Otolaryngology Physician	$172.5K	$0
Pratik Patel	IL	Otolaryngology Physician	$159K	$0
Andrew Vanbruggen	WI	Otolaryngology Physician	$131.3K	$0
John Mcmahan	WI	Otolaryngology Physician	$99.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Intelliride, LLC	IL	Transportation Broker	$0	$297.1M
United Seating And Mobility LLC	IL	Durable Medical Equipment & Medical Supplies	$0	$28.7M
Health Resources Solutions Inc	IL	Home Health Agency	$0	$21.8M
Us Spa Corp	IL	Clinical Medical Laboratory	$20.4M	$384.3K
U & F Sons, Inc.	IL	Homemaker	$0	$15.6M
Us Medical Labs Inc	IL	Clinical Medical Laboratory	$603.4K	$12.5M
Mmm Diagnostic Center Inc	IL	Clinical Medical Laboratory	$939.6K	$10.9M
United Eg LLC	IL	Clinical Medical Laboratory	$227.3K	$11.1M
Kevin Mccune	IL	Family Medicine Physician	$0	$9.6M
Village Of Lombard	IL	Land Ambulance	$552.9K	$6.7M

Anjali Patel — Billing Profile & Reimbursement Data

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Anjali 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