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.

Parag Patel (NPI 1366607822)

Parag Patel is a advanced heart failure and transplant cardiology physician provider located in Jacksonville, Florida. This profile covers 11 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.

(source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Parag Patel
Address	4500 San Pablo Rd S
City	Jacksonville
State	FL
ZIP	32224
Taxonomy	Advanced Heart Failure and Transplant Cardiology Physician
NPI Enumerated	July 24, 2008

Payer Source	Total Paid
Medicare	$61.6K
Medicaid	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	280	$100	$27K
99215	The 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…	120	$120	$14.8K
93505	The provider takes a sample of tissue from within the innermost layer of the heart muscle, primarily to check for signs of any damage due to rejection of a heart transplant.	50	$170	$7.7K
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…	40	$80	$2.9K
99223	The 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…	20	$140	$2.4K
99205	The 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…	10	$180	$2.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	20	$90	$1.6K
93750	In this procedure, the provider tests the settings of a ventricular assist device, a mechanical pump connected to the heart and aorta that ensures adequate blood flow in the presence of heart…	40	$30	$1.2K
76932	In this procedure, the provider performs imaging supervision and interpretation for a separately reportable ultrasound guided biopsy of endomyocardium, the heart muscle.	30	$30	$990
76937	The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.	40	$10	$430

Showing 1–10 of 11

Parag 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

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	26,636	32,760	140	$90	$25K
99233	2,179	9,970	100	$90	$20.1K
99223	9,568	11,110	60	$130	$12.5K
99215	1,557	8,550	40	$130	$10.7K
99239	3,747	4,170	80	$90	$9.5K
99205	4,132	4,820	30	$160	$6.6K
93505	5	20	40	$170	$5.6K
93750	30	40	80	$30	$2.7K
76932	4	10	40	$30	$1K
76937	465	1,110	30	$20	$700