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NPI 1295906832 · Middletown, NY · Family Medicine Physician
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Jagruti Gohel is a family medicine physician provider located in Middletown, New York. This profile covers 61 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Jagruti Gohel |
| Address | 111 Maltese Dr |
| City | Middletown |
| State | NY |
| ZIP | 10940 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | March 21, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $408.6K |
| Medicaid | $119.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
61 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… | 1,820 | $100 | $176.9K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 240 | $140 | $32.6K |
| 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… | 290 | $80 | $24.2K |
| 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… | 260 | $60 | $15.9K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 620 | $20 | $9.9K |
| 86618 | The lab analyst performs an immunoassay to evaluate the patient’s blood or cerebrospinal fluid for antibodies to the bacterium Borrelia burgdorferi. | 540 | $20 | $9.2K |
| 99498 | The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient… | 120 | $70 | $8.4K |
| 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. | 620 | $10 | $8.1K |
| 87502 | The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly… | 80 | $90 | $7.1K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 200 | $30 | $5.9K |
Showing 1–10 of 61
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 61 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
61 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 77067 | 709 | 780 | 290 | $90 | $41.7K |
| U0003 | 42 | 120 | 30 | $70 | $23.1K |
| 99214 | 123 | 30,450 | 90 | $100 | $19K |
| 77063 | 678 | 750 | 280 | $40 | $18.9K |
| 86617 | 9 | 10 | 370 | $20 | $17.7K |
| 87811 | 85 | 610 | 40 | $40 | $14.4K |
| 99457 | 413 | 480 | 150 | $40 | $12.5K |
| 99454 | 384 | 420 | 130 | $40 | $12.5K |
| 99213 | 5,841 | 31,440 | 80 | $70 | $12.1K |
| U0005 | 54 | 130 | 40 | $20 | $11.2K |
Showing 1–10 of 61
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
14 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… | 3,670 | $30 | $113.8K |
| 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… | 140 | $40 | $4.8K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 20 | $50 | $1.1K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 420 | $1 | $420 |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 30 | $1 | $110 |
| 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… | 30 | $1 | $50 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 590 | $0 | $0 |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 60 | $0 | $0 |
| 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… | 10 | $0 | $0 |
| 99080 | The provider completes forms or reports related to the patient's status or situation in addition to standard documentation. | 320 | $0 | $0 |
Showing 1–10 of 14
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
14 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 306 | 340 | 1,090 | $70 | $1.4M |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,… | 277 | 300 | 1,710 | $20 | $458.6K |
| 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… | 12,178 | 19,110 | 360 | $70 | $321K |
| 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… | 1,393 | 16,550 | 220 | $90 | $186.8K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 796 | 940 | 220 | $30 | $89.4K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 510 | 850 | 960 | $1 | $36.4K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 2,310 | 5,090 | 450 | $10 | $35.9K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 2,596 | 3,120 | 260 | $10 | $11.8K |
| 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… | 520 | 690 | 70 | $30 | $9.2K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 1,047 | 1,450 | 290 | $1 | $8.5K |
Showing 1–10 of 14
Other providers in the same ZIP code as Jagruti Gohel, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Garnet Health Medical Center | NY | General Acute Care Hospital | $0 | $45.1M |
| Restorative Management Corp | NY | Substance Abuse Rehabilitation Facility | $0 | $18.5M |
| Vivek Patil | NY | Vascular & Interventional Radiology Physician | $654.1K | $2.3K |
| Thomas Eanelli | NY | Radiation Oncology Physician | $568.2K | $390 |
| Quazi Al-tariq | NY | Psychiatry Physician | $90.5K | $477.7K |
| Elina Zaretsky | NY | Diagnostic Radiology Physician | $477.4K | $0 |
| Isha Gupta | NY | Nephrology Physician | $453.4K | $5.8K |
| Adel Abadir | NY | Diagnostic Radiology Physician | $293.7K | $43K |
| Nelson Wong | NY | Physical Medicine & Rehabilitation Physician | $334.7K | $0 |
| Lawrence Cicchiello | NY | Diagnostic Radiology Physician | $308.1K | $2.7K |
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