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

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

Hemal Patel (NPI 1225490022)

Field	Value
Entity Type	Individual
Organization	Hemal Patel
Address	1000 Old Denbigh Blvd Ste 1020a
City	Newport News
State	VA
ZIP	23602
Taxonomy	Geriatric Medicine (Internal Medicine) Physician
NPI Enumerated	March 22, 2016

Payer Source	Total Paid
Medicare	$35.4K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	150	$140	$20.9K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	80	$60	$4.5K
G0317	Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	120	$20	$2.9K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	20	$120	$2.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$130	$1.8K
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…	20	$90	$1.5K
99233	The 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…	10	$90	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Hemal Patel — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	12,133	12,890	140	$80	$21K
99306	72	290	60	$140	$16.4K
99310	322	390	70	$110	$14.1K
99233	3,254	3,290	80	$90	$13.7K
99223	3,220	3,660	40	$130	$9.2K
99497	240	740	40	$60	$5.1K
G0317	11	40	50	$20	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Evms Academic Physicians And Surgeons Health Services Foundation	VA	Internal Medicine Physician	$0	$33.1M
John Onufer	VA	Clinical Cardiac Electrophysiology Physician	$497.5K	$0
Jennifer Ragi	VA	Dermatology Physician	$452K	$0
Edwin Crandley	VA	Radiation Oncology Physician	$315.3K	$0
Peng Bai	NC	Physical Medicine & Rehabilitation Physician	$264.6K	$0
Victor Brugh	VA	Urology Physician	$228K	$0
Michael Ho	VA	Diagnostic Radiology Physician	$136.7K	$220
Nripendra Devanath	IN	Diagnostic Radiology Physician	$72.6K	$62.9K
Abby Van Voorhees	VA	Dermatology Physician	$134K	$0
Scott Whitlock	AZ	Dermatology Physician	$133.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary Immaculate Hospital LLC	VA	General Acute Care Hospital	$0	$24.5M
Eastern Virginia Adult Care, LLC	VA	Case Management Agency	$0	$20.8M
Divind Behavioral Services,inc	VA	Mental Illness Community Based Residential Treatment Facility	$0	$16.6M
Beyond Excellence, LLC	VA	Developmentally Disabled Services Day Training Agency	$0	$15M
American Addiction Treatment Center, Inc	VA	Methadone Clinic	$80.3K	$9.2M
Kian Kaz	VA	Ophthalmology Physician	$639.1K	$0
Mrugesh Soni	VA	Interventional Cardiology Physician	$435.3K	$0
Ahmed Amini	VA	Nephrology Physician	$304.5K	$0
Rocco Basciano	VA	Geriatric Medicine (Internal Medicine) Physician	$279.8K	$0
Sudip Ghimire	VA	Student in an Organized Health Care Education/Training Program	$242.8K	$0

Hemal Patel — Billing Profile & Reimbursement Data

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Hemal 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