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    OpenPayerNPI Medicare & MedicaidRajesh Patel
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    Rajesh Patel — Billing Profile & Reimbursement Data

    NPI 1427145440 · Homewood, IL · Urology Physician

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    Rajesh Patel is a urology physician provider located in Homewood, Illinois. This profile covers 37 Medicare and 5 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)

    FieldValue
    Entity TypeIndividual
    OrganizationRajesh Patel
    Address17901 Governors Hwy Ste 102
    CityHomewood
    StateIL
    ZIP60430
    TaxonomyUrology Physician
    NPI EnumeratedOctober 10, 2006

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

    Payer SourceTotal Paid
    Medicare$379.1K
    Medicaid$3.4K

    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
    J1952Leuprolide injectable, camcevi, 1 mg1,340$70$88.7K
    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…740$100$71.1K
    99213The 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…450$70$29.6K
    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…560$50$27.3K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg130$140$17.8K
    51728In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…60$280$16.2K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…470$30$15.9K
    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…80$180$15.1K
    55899Use 55899 to report procedures in the male genital system that does not have a specific code.60$220$13K
    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…80$120$9.3K

    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
    877984770750$30$172.3K
    J1952830920$70$73.5K
    878012330120$70$52.2K
    874814260120$30$47.3K
    J921784160140$130$21.1K
    992335,9345,990100$100$18.7K
    9921473618,540110$80$17.1K
    5200015631080$160$15.8K
    87653446080$30$15.1K
    87640425080$30$14.8K

    Showing 1–10 of 37

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…50$40$1.7K
    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…130$10$1.5K
    99213The 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…10$10$130
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…10$1$40
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.10$1$20

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…9,71514,680300$50$48.7K
    99213The 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…13,34114,190280$20$38.9K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…11029030$40$5.3K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.12513070$10$3.7K
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…30039030$1$280

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Care Network IncINFamily Medicine Physician$0$33.9M
    Parthiv MehtaILRadiation Oncology Physician$5.9M$0
    Mohamad KassarINHematology & Oncology Physician$4.7M$0
    Ramon LeeILRetina Specialist (Ophthalmology) Physician$4M$8.5K
    Sohail HasanILRetina Specialist (Ophthalmology) Physician$3.4M$34.2K
    Neel ShahINHematology & Oncology Physician$3.2M$0
    Raja DevanathanINPulmonary Disease Physician$3M$0
    Michael TallaricoINMedical Oncology Physician$2.7M$0
    Kourous RezaeiILRetina Specialist (Ophthalmology) Physician$2.7M$0
    Ghassan JanoINHematology & Oncology Physician$2.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Suburban Access, Inc.ILCase Management Agency$0$6.3M
    Village Of HomewoodILAmbulance$168.4K$4.6M
    Olufemi AboyejiILInternal Medicine Physician$514K$2.5M
    Shivan TekwaniILOphthalmology Physician$1.7M$10.7K
    David LubeckILOphthalmology Physician$425.3K$0
    Grant ChavinILSpecialist$413.6K$11.5K
    Richard QuinonesILOphthalmology Physician$305.7K$4.6K
    Arpeet ShahILSurgery Physician$288.1K$3.6K
    Jeffrey IntudILFamily Nurse Practitioner$102.6K$29K
    Julia ShaugerILFoot & Ankle Surgery Podiatrist$94.9K$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. Illinois Distribution
    Rajesh Patel — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Rajesh Patel — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois