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    OpenPayerNPI Medicare & MedicaidSachin Parekh
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    Sachin Parekh — Billing Profile & Reimbursement Data

    NPI 1285749952 · Hartford, CT · Emergency Medicine Physician

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    Sachin Parekh is a emergency medicine physician provider located in Hartford, Connecticut. This profile covers 8 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSachin Parekh
    Address114 Woodland St
    CityHartford
    StateCT
    ZIP06105
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedAugust 20, 2006

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

    Payer SourceTotal Paid
    Medicare$807.9K
    Medicaid$0

    Key Findings

    This provider is effectively Medicare‑centric: lifetime Medicare revenue is reported as $807.9K while there is no Medicaid billing on file, so the observable commercial activity on claims data is concentrated entirely in Medicare programs. The absence of Medicaid billing makes this a single‑payer profile for payers focused on state programs.

    Revenue is highly concentrated in remote physiologic monitoring (RPM) codes: the precomputed top‑3 Medicare codes account for 86.8% of the provider's total Medicare revenue, driven by 99458 (40.2% of Medicare revenue, $326.6K revenue), 99457 (36.3% of Medicare revenue, $294.5K revenue), and 99454 (10.3% of Medicare revenue, $83.9K revenue). This concentration means a small set of RPM services dominate the economic profile of the provider.

    The CPT/HCPCS mix signals an operations model built around remote monitoring and chronic care support rather than high‑volume in‑person specialty procedures: dominant codes include 99458 and 99457 (RPM management), 99454 and 99453 (device supply and equipment setup), and 99490 (care coordination/CCM). These codes together indicate active device‑based patient monitoring workflows and ongoing remote care management rather than episodic emergency procedures.

    Competitive standing for RPM is unusually strong at the national level: 99458 is ranked #5 of 3715 providers (100th percentile; extreme outlier) and 99457 is ranked #5 of 6044 providers (100th percentile; extreme outlier), while 99454 ranks #63 of 5663 (99th percentile; extreme outlier) and 99453 ranks #8 of 3295 (100th percentile; extreme outlier). Those ranks and percentile labels indicate this provider bills RPM codes at volumes far above typical national peers and functions as a major national outlier for these services.

    Other Medicare activity is present but secondary: 99202 shows 794 claims and $34.9K revenue (4.3% of Medicare revenue), K1034 shows 2.1K claims and $25K revenue (3.1% of Medicare revenue), and 99212 shows 219 claims and $9.4K revenue (1.2% of Medicare revenue). These E/M and COVID testing codes supplement the RPM‑centric revenue mix but do not approach the RPM codes in scale.

    Operational implications are suggested by high claim counts coupled with modest average payments per claim for RPM: 99458 reports 10.5K claims at $31 avg paid/claim and 99457 reports 8K claims at $37 avg paid/claim, indicating a volume‑based RPM program where scale of monthly interactions and device provisioning drives revenue rather than high per‑encounter fees. Sustaining this model likely requires ongoing remote monitoring infrastructure, recurring device distribution, and staff time for the real‑time interactions those codes require.

    Not all chronic care codes are outliers—some appear typical relative to peers: 99490 ranks #2232 of 16216 providers (86th percentile; typical, unremarkable volume) and K1034 ranks #2486 of 30143 providers (92th percentile; typical, unremarkable volume). This mix shows the provider is an outlier specifically in RPM codes while its CCM and testing activity are within more ordinary peer ranges.

    The provider has a long enrollment history with the NPI enumerated on 2006-08-20 (~20 years ago), which indicates an established billing presence; the current pattern suggests a strategic emphasis or practice evolution toward remote monitoring services within that long-standing Medicare participation. Analysts should treat the RPM dominance as the defining commercial footprint when assessing competitive behavior or contracting opportunities.

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…10,530$30$326.6K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…7,960$40$294.5K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.2,150$40$83.8K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…790$40$34.9K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…570$50$28.6K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count2,080$10$25K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…220$40$9.4K
    99453The provider sets up equipment for remote physiologic monitoring and educates the patient on how to use it.660$10$9.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9949019170180$60$157.4K
    99457240230$40$54K
    99458120440$30$35.8K
    99454340190$40$33.9K
    K103464430770$10$12.6K
    9945322050$20$7.7K
    99212461,34030$40$2.2K
    99202136020$50$1.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Trinity Health Of New England Provider Network Organization IncCTInternal Medicine Physician$0$42M
    Franklin Medical Group, PCCTInternal Medicine Physician$0$13.5M
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Mark MitchellFLEmergency Medicine Physician$1.9M$38.2K
    Robert SmithCTSpecialist$33.8K$1.1M
    Jasmit MinhasWAInternal Medicine Physician$965.4K$0
    Yuyang ZhangMDDiagnostic Radiology Physician$920.4K$0
    Sheela MehraNYInternal Medicine Physician$792.2K$13.9K
    David FleszarFLDiagnostic Radiology Physician$754K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Francis Hospital And Medical CenterCTGeneral Acute Care Hospital$0$266.5M
    The Village For Families & Children, Inc.CTAdolescent and Children Mental Health Clinic/Center$0$39.5M
    The Village For Families & Children, Inc.CTPsychiatric Residential Treatment Facility$0$28.4M
    Collins Medical Associates 2 PCCTInternal Medicine Physician$0$9M
    Saint Francis Emergency Medical Group, Inc.CTEmergency Medicine Physician$0$8.8M
    Radiology Associates Of Hartford PLLCCTDiagnostic Radiology Physician$0$4.8M
    Asylum Hill Family Medicine Center IncCTFamily Medicine Physician$0$4.2M
    Pediatric Health Associates PC.CTPediatrics Physician$0$2.9M
    Lisa AzinheiraCTOptician$0$2.6M
    The Latin Enrichment Organization LLCCTMental Health Clinic/Center (Including Community Mental Health Center)$0$2.6M

    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. Connecticut Distribution
    Sachin Parekh — 4 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut