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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRakesh Patel
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    Rakesh Patel — Billing Profile & Reimbursement Data

    NPI 1457312589 · Paramus, NJ · Otolaryngology Physician

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    Rakesh Patel is a otolaryngology physician provider located in Paramus, New Jersey. This profile covers 12 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRakesh Patel
    Address1 W Ridgewood Ave
    CityParamus
    StateNJ
    ZIP07652
    TaxonomyOtolaryngology Physician
    NPI EnumeratedMarch 29, 2006

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

    Payer SourceTotal Paid
    Medicare$175.8K
    Medicaid$0

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…650$100$65.9K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.360$160$56.8K
    99203The provider sees a new 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 provider…130$90$11.5K
    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…70$130$9.3K
    31579The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…50$170$8.4K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.210$30$6.4K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.40$110$4.4K
    31238In this procedure, the provider inserts an endoscope into the nasal cavity. The provider then uses bipolar cautery or other means to control bleeding.20$220$3.9K
    92588The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…140$30$3.6K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.690$1$2.8K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3123121230120$160$25.5K
    992141,29413,640130$90$23.6K
    31579193070$170$14.2K
    3157517624070$110$9K
    950041141401,330$1$7.2K
    992041,5707,16040$130$6.5K
    31238102020$220$5.3K
    992034775,66040$80$4.8K
    6921010149040$40$4.4K
    92588227040$30$2.7K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Roel GalopeNJSpecialist$1.9M$0
    Belmond Community HospitalIARural Health Clinic/Center$0$1.9M
    Wadie TomaNJRheumatology Physician$1.4M$980
    Kathy LoNJRadiation Oncology Physician$1.2M$0
    David ZelmanNYDiagnostic Radiology Physician$580.2K$563.4K
    Mark DeckerNYDiagnostic Radiology Physician$962K$141.1K
    Rosemarie DesantisNJRheumatology Physician$1.1M$0
    Gary TubmanNYDiagnostic Radiology Physician$617.9K$447.2K
    Menachem GoldNYDiagnostic Radiology Physician$207.7K$852.7K
    David CioconNJMOHS-Micrographic Surgery Physician$843.5K$5.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Concepts For LivingNJDevelopmentally Disabled Services Day Training Agency$0$123.8M
    Children's Aid And Family Services, Inc.NJIn Home Supportive Care Agency$0$91M
    Care Plus Nj, IncNJCommunity/Behavioral Health Agency$0$38.1M
    Bergen County Improvement AuthorityNJGeneral Acute Care Hospital$0$37.5M
    Jewish Association For Developmental DisabilitiesNJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$37.3M
    The Valley Hospital Inc.NJGeneral Acute Care Hospital$0$31.5M
    Bergen County Adult Day Care LLCNJAdult Day Care Clinic/Center$0$28.7M
    Help At Home ServicesNJHome Health Agency$0$18.8M
    Care Plus Nj, IncNJCommunity/Behavioral Health Agency$0$17.2M
    Care Plus Nj, Inc.NJCommunity/Behavioral Health Agency$0$17M

    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. New Jersey Distribution
    Rakesh Patel — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey