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

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

Prashant Patel (NPI 1336135102)

Field	Value
Entity Type	Individual
Organization	Prashant Patel
Address	501 Se Osceola St
City	Stuart
State	FL
ZIP	34994
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	September 27, 2005

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Medicare: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	23,800	$40	$1M
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…	1,000	$100	$101.3K
J0897	Injection, denosumab, 1 mg	3,540	$20	$63.7K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	550	$110	$58.4K
J1454	Injection, fosnetupitant 235 mg and palonosetron 0.25 mg	150	$340	$49K
J1439	Injection, ferric carboxymaltose, 1 mg	46,500	$1	$46.5K
Q5106	Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	7,200	$10	$43.2K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	340	$50	$17.7K
99204	The 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…	130	$130	$17.2K
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…	1,880	$10	$15K

Showing 1–10 of 50

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 50 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Prashant Patel — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

50 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	55	210	16,100	$40	$802.7K
J0897	495	1,060	3,290	$20	$106.5K
J1454	2	10	70	$340	$36.2K
J1439	20	100	24,750	$1	$29.5K
Q5106	19	110	3,030	$10	$26.7K
96413	94	730	200	$100	$26.1K
99214	1,844	32,760	140	$90	$25K
86300	45	50	90	$20	$23.6K
80053	126	1,430	170	$10	$21.3K
84443	664	1,210	130	$20	$20.9K

Showing 1–10 of 50

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alpana Desai	FL	Medical Oncology Physician	$3.6M	$0
Ravi Patel	FL	Hematology & Oncology Physician	$1.6M	$0
Christine Simone	FL	Hematology & Oncology Physician	$1.2M	$0
Joseph My	FL	Hematology & Oncology Physician	$809.7K	$0
Henry Shapiro	FL	Hematology & Oncology Physician	$364.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Superior Care Home Health Agency LLC	FL	Home Health Agency	$0	$35.5M
Martin Memorial Medical Center Inc	FL	General Acute Care Hospital	$0	$26M
Martin County Florida Board Of Commissioners	FL	Ambulance	$2.6M	$1.6M
Coastal Care Corporation	FL	Radiology Clinic/Center	$2.7M	$800
Walid Mangal	FL	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Treasure Coast Asc, LLC	FL	Ambulatory Surgical Clinic/Center	$1.9M	$0
Elke Friedman	FL	Medical Oncology Physician	$1.3M	$0
Thomas Suits	FL	Specialist	$1.3M	$0
Mark Kaiser	FL	Dermatology Physician	$1.2M	$0
Robert Nunez	FL	Facial Plastic Surgery Physician	$773.4K	$0

Prashant Patel — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References