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    OpenPayerNPI Medicare & MedicaidHitesh Patel
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    Hitesh Patel — Billing Profile & Reimbursement Data

    NPI 1215959622 · Edison, NJ · Ophthalmology Physician

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    Hitesh Patel is a ophthalmology physician provider located in Edison, New Jersey. This profile covers 20 Medicare and 5 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
    OrganizationHitesh Patel
    Address228 Plainfield Ave
    CityEdison
    StateNJ
    ZIP08817
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 24, 2006

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

    Payer SourceTotal Paid
    Medicare$447K
    Medicaid$0

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg280$690$194.6K
    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…570$70$41.6K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…90$440$37.4K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…340$100$32.4K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.70$290$20.7K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…380$50$19.4K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.160$100$15.2K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.20$740$13.3K
    65855In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.50$220$10.3K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…340$30$10.2K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01786890880$690$693.6K
    66984202370100$670$141.2K
    6702881100810$100$91.1K
    65820466030$1,130$50.9K
    6698211816030$740$40.7K
    920143581,130160$100$34.9K
    992147,87713,640130$90$23.6K
    668217929040$270$16.7K
    992131,06814,090100$70$13.1K
    9213416770090$30$10K

    Showing 1–10 of 20

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    V2020Frames, purchases1,300$0$0
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens290$0$0
    V2200Sphere, bifocal, plano to plus or minus 4.00d, per lens50$0$0
    V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens40$0$0
    V2784Lens, polycarbonate or equal, any index, per lens40$0$0

    Medicaid: Competitive Analysis & Benchmarks

    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

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V2784Lens, polycarbonate or equal, any index, per lens380420500$10$17.2K
    V2020Frames, purchases221630580$1$10.7K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens281460620$1$8.4K
    V2200Sphere, bifocal, plano to plus or minus 4.00d, per lens129170250$1$3.8K
    V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens95130210$1$2.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Francis Medical CenterNJGeneral Acute Care Hospital$0$30.6M
    Carol KornmehlNJRadiation Oncology Physician$1.4M$0
    Agha RazviNJOtolaryngology Physician$54.9K$580.7K
    David BreschNJPsychiatry Physician$81K$422.7K
    Ravi RajanNJUrology Physician$379.1K$0
    Joseph LattanziNJRadiation Oncology Physician$342.2K$0
    Rajesh IyerNJRadiation Oncology Physician$261.9K$0
    Mohit KapoorNJOptometrist$21.6K$228.7K
    David D'ambrosioNJRadiation Oncology Physician$249.7K$0
    John WatsonNJUrology Physician$239.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Care For U Plus,llcNJHome Health Agency$0$84.4M
    Coordinated Family CareNJCase Management Agency$0$70.5M
    Instacare Home Health Solutions LLC.NJHome Health Agency$0$27.8M
    Maxim Healthcare Services, Inc.NJHome Health Agency$0$15.8M
    Satyanarayan Healthcare, LLCNJAdult Day Care Clinic/Center$0$15.3M
    Georgiet AfriyieNJPrimary Care Nurse Practitioner$2M$0
    Robert SchanzerNJCardiovascular Disease Physician$748.5K$0
    Robert PanebiancoNJCardiovascular Disease Physician$229.7K$0
    Aron BarskyNJCardiovascular Disease Physician$194.4K$16.9K
    Elmira KapchitsNJInternal Medicine Physician$198.1K$470

    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 Jersey Distribution
    Hitesh Patel — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Hitesh Patel — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey