Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAnkur Patel
    Ask Trek AI about this page

    Ankur Patel — Billing Profile & Reimbursement Data

    NPI 1255697686 · Los Angeles, CA · Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for Ankur Patel — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Ankur Patel is a orthopaedic surgery physician provider located in Los Angeles, California. This profile covers 17 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAnkur Patel
    Address1450 San Pablo St Ste 2000
    CityLos Angeles
    StateCA
    ZIP90033
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 10, 2012

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

    Payer SourceTotal Paid
    Medicare$161.8K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…40$1,090$41.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…230$120$27.5K
    27357In this procedure, the provider removes a bone cyst from the femur, using autograft, typically to relieve pain and improve range of motion.40$350$15.2K
    27637The provider removes a bone cyst or benign tumor from the tibia or fibula and repairs the defect with an autograft.40$320$13.8K
    27025In this procedure, the provider cuts through the fascia in the hip or thigh to relieve pressure and increase blood flow.30$420$12K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…60$150$9.4K
    27390In this procedure, the provider performs an open tenotomy, involving surgical division or cutting of any single tendon of the hamstring muscles from knee to hip. Hamstring muscles are a group of…40$200$7.7K
    99214The 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…80$80$6.8K
    99223The 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…40$140$5.8K
    27048In this procedure, the provider removes a tumor from the soft tissue of the pelvis and hip area situated at the subfascial level. The size of the tumor excision is less than 5 cm.20$260$5.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744730682030$1,110$48.9K
    9921422,48837,970120$90$23.2K
    992151,71115,36050$130$14.4K
    992237,01113,19050$140$11.3K
    2735711030$240$8.2K
    2763711030$220$7.4K
    2702511020$350$7.3K
    992051,6338,36030$170$7.2K
    992049,11219,36040$120$7.2K
    206108552,79050$50$6K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Johnson LeeCAPlastic Surgery Physician$22.5M$0
    James MichailCAGeriatric Medicine (Family Medicine) Physician$20.4M$86.8K
    Geoffrey TrenkleCAFacial Plastic Surgery Physician$517.4K$6.5M
    Kevin O'reillyCAPodiatrist$513.7K$4.7M
    Khaled TawansyCAOphthalmology Physician$2.8M$2.4M
    Humberto VillalvazoORFamily Medicine Physician$4.3M$0
    Sean AdreanCARetina Specialist (Ophthalmology) Physician$3.1M$163.9K
    Saman FakheriCAInternal Medicine Physician$3.2M$0
    Navid EzraCADermatology Physician$1.8M$975.2K
    Samy MetyasCARheumatology Physician$2M$20.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of Los AngelesCAGeneral Acute Care Hospital$0$216.5M
    Complete Care Community Health Center, IncCAPACE Provider Organization$0$72.6M
    County Of Los AngelesCAGeneral Acute Care Hospital$0$63.9M
    White Memorial Medical CenterCAGeneral Acute Care Hospital$0$62.3M
    White Memorial Community Health CenterCAPediatrics Physician$0$55.6M
    Keck Medical Center Of UscCAGeneral Acute Care Hospital$0$45M
    Usc Care Medical Group, IncCAGeneral Practice Physician$0$39.1M
    Usc-davita Dialysis Center LLCCAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$32.5M
    Altamed Health Services CorpCAFederally Qualified Health Center (FQHC)$0$23.9M
    Cameron PoleCAOphthalmology Physician$4.5M$0

    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. California Distribution
    Ankur Patel — 4 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California