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

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

Kalpesh Parikh (NPI 1255339081)

Field	Value
Entity Type	Individual
Organization	Kalpesh Parikh
Address	6310 Roberts Rd
City	Corryton
State	TN
ZIP	37721
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 14, 2005

Payer Source	Total Paid
Medicare	$63.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

27 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…	300	$90	$25.2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	$120	$8.4K
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…	150	$40	$5.1K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	250	$10	$3.3K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	100	$20	$2.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	300	$10	$2.4K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	130	$10	$1.7K
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	70	$20	$1.6K
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	50	$30	$1.4K
82044	Office or lab personnel will usually perform a semiquantitative urine albumin or microalbumin by using a reagent strip that is able to detect the analyte without the use of a chemistry analyzer or…	210	$10	$1.3K

Showing 1–10 of 27

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Kalpesh Parikh — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

27 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,735	11,370	120	$80	$16.6K
G0439	1,271	2,650	70	$110	$11.2K
99213	3,408	11,030	80	$50	$8K
80061	364	1,310	140	$10	$4.1K
36415	911	3,310	120	$10	$3.2K
G0008	1,627	3,230	50	$30	$2.1K
G0442	111	200	70	$20	$1.8K
G0446	40	100	50	$20	$1.7K
G0444	519	1,120	60	$20	$1.6K
93000	1,670	1,820	40	$10	$1.4K

Showing 1–10 of 27

Kalpesh Parikh — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References