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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRashmi Patel
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    Rashmi Patel — Billing Profile & Reimbursement Data

    NPI 1295775930 · Gahanna, OH · Urology Physician

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    Rashmi Patel is a urology physician provider located in Gahanna, Ohio. This profile covers 37 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
    OrganizationRashmi Patel
    Address701 Tech Center Dr
    CityGahanna
    StateOH
    ZIP43230
    TaxonomyUrology Physician
    NPI EnumeratedJune 8, 2006

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

    Payer SourceTotal Paid
    Medicare$189K
    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.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…150$120$18.4K
    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…220$80$17.6K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…190$90$17.4K
    99426Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…380$50$17.3K
    99204The provider sees a new 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 provider…160$110$16.9K
    55866The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…10$940$11.3K
    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…230$50$10.9K
    55880The provider uses a high intensity–focused ultrasound (HIFU) device inserted through the rectum to destroy malignant prostate tissue under ultrasound guidance.10$750$8.2K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…50$180$8.2K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method50$130$6.7K

    Showing 1–10 of 37

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    37 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    55866193010$820$16.3K
    50590325020$590$16K
    992144,74320,010100$70$11.7K
    520002434070$120$10.5K
    992327,3868,05070$60$8.7K
    5588011010$750$8.2K
    99490110420100$40$8.1K
    841533820030$20$8.1K
    992233,8225,59040$130$7.6K
    9942685080$40$7.6K

    Showing 1–10 of 37

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    North Central Ohio Family Care Center, IncOHSpecialist$0$15.3M
    Genesis Medical Group LLCOHGeneral Practice Physician$0$15.2M
    Levent AkdumanMOOphthalmology Physician$3.1M$1.4M
    Phu TranFLHematology & Oncology Physician$1.2M$10.9K
    Jason SeavoltOHRadiation Oncology Physician$695.3K$0
    Adam WeiserOHUrology Physician$503.5K$0
    Shaun BhattyOHClinical Cardiac Electrophysiology Physician$341.6K$0
    Benjamin MartinOHUrology Physician$299.7K$0
    William BlochOHUrology Physician$259.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Divine Home Health Care LLCOHHome Health Agency$0$26.3M
    Ebe Healthcare, LLCOHHome Health Agency$0$21.2M
    Spring Home Health Care LLCOHHome Health Agency$0$17.2M
    Premier Home Care, Corp.OHHome Health Agency$0$14.8M
    Nationwide Home Healthcare, Corp.OHHome Health Agency$0$11.8M
    Marimart Health Care Plus LLCOHHome Health Agency$0$9.5M
    Sleepytime Surgery Center, LLCOHAmbulatory Surgical Clinic/Center$0$7.5M
    Echo Hospice Of Ohio, LLCOHCommunity Based Hospice Care Agency$0$7.5M
    Central Ohio Urology Surgery Center, LLCOHAmbulatory Surgical Clinic/Center$1.8M$21.7K
    Walnut Creek Surgical Suites, LLCOHAmbulatory Surgical Clinic/Center$1M$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. Ohio Distribution
    Rashmi Patel — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio