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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Shivani Patel (NPI 1427571900)

Field	Value
Entity Type	Individual
Organization	Shivani Patel
Address	931 Smith St
City	Providence
State	RI
ZIP	02908
Taxonomy	General Practice Dentistry
NPI Enumerated	July 17, 2017

Payer Source	Total Paid
Medicaid	$630.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1351	Sealant - per tooth	2,110	$70	$152.2K
D1120	Prophylaxis–child	3,410	$40	$136.3K
D0120	Periodic oral evaluation - established patient	3,560	$30	$96.2K
D1208	Topical application of fluoride - excluding varnish	3,170	$30	$79.2K
D0274	N/A	2,160	$10	$30.2K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	200	$150	$30K
D0150	Comprehensive oral evaluation – new or established patient	1,280	$20	$28.1K
D0330	N/A	1,270	$20	$24.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	490	$40	$21.1K
D1354	N/A	550	$30	$14.4K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Rhode Island Distribution

Shivani Patel — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	39	160	710	$30	$91.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	90	180	490	$20	$42.3K
D1351	Sealant - per tooth	27	90	670	$20	$41.4K
D0120	Periodic oral evaluation - established patient	44	210	930	$10	$38.1K
D1208	Topical application of fluoride - excluding varnish	15	100	290	$20	$32.1K
D0330	N/A	20	100	400	$40	$30.7K
D2140	Amalgam - one surface, primary or permanent	35	40	150	$30	$21.8K
D0272	N/A	56	110	230	$20	$18.9K
D0140	Limited oral evaluation – problem focused	111	130	410	$10	$18.3K
D0274	N/A	26	170	390	$10	$18.1K

Showing 1–10 of 16

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A Caring Experience Nursing Services, Inc.	RI	Home Health Agency	$0	$78.5M
Prospect Chartercare Rwmc, LLC	RI	General Acute Care Hospital	$0	$57.1M
Caregiver Homes Of Rhode Island Inc.	RI	Case Management Agency	$0	$43.4M
Roger Williams Medical Center	RI	Surgical Oncology Physician	$0	$5.4M
John Ricci	RI	Dentist	$0	$4.3M
Meals On Wheels Of Ri, Inc.	RI	Case Manager/Care Coordinator	$0	$4.1M
Professional Ambulance LLC	RI	Ambulance	$1.7M	$1.4M
University Pathologists, LLC	RI	Anatomic Pathology Physician	$0	$2.9M
Prospect Chartercare Rwmc, LLC	RI	Internal Medicine Physician	$0	$2.4M
Antonio Barajas	RI	Emergency Medical Services (Emergency Medicine) Physician	$0	$2.1M

Shivani Patel — Billing Profile & Reimbursement Data

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Shivani Patel — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References