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

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

Santosh Patel (NPI 1467461426)

Field	Value
Entity Type	Individual
Organization	Santosh Patel
Address	2625 Bolton Boone Dr
City	Desoto
State	TX
ZIP	75115
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 7, 2006

Payer Source	Total Paid
Medicare	$2M
Medicaid	$0

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,650	$690	$1.1M
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	1,280	$220	$276.9K
J2777	Injection, faricimab‑svoa, 0.1 mg	7,620	$30	$213.4K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	1,390	$80	$116.9K
J2778	Injection, ranibizumab, 0.1 mg	330	$180	$60.3K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	1,890	$30	$52.8K
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…	590	$90	$49.8K
J3590	Unclassified biologics	50	$960	$48.8K
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…	200	$110	$22.6K
67108	The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…	10	$910	$11.8K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Santosh Patel — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	43	210	610	$690	$694.9K
J2777	68	140	7,470	$30	$479.2K
J2778	64	80	630	$180	$345.3K
Q5128	16	50	770	$220	$263.7K
J3590	24	40	70	$1,640	$162.7K
67028	60	290	510	$90	$73K
67108	42	60	20	$1,170	$28.1K
99214	2,652	32,500	110	$80	$17.6K
J7999	68	140	90	$80	$14.4K
99213	23,045	29,790	70	$60	$8.4K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Torti	TX	Ophthalmology Physician	$2M	$0
Henry Choi	TX	Ophthalmology Physician	$1.5M	$0
Steven Reinecke	TX	Ophthalmology Physician	$1.3M	$0
Hemang Pandya	TX	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
Philip Lieu	TX	Ophthalmology Physician	$1.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wellness Healthcare Solutions, Inc.	TX	Developmentally Disabled Services Day Training Agency	$0	$47.5M
Yashwanth Jasti	TX	Infectious Disease Physician	$506.2K	$0
Siminibe Moneke	TX	Family Nurse Practitioner	$434.6K	$0
Craig Ferrara	TX	Vascular Surgery Physician	$306.7K	$0
Pablo Uceda	TX	Surgery Physician	$253K	$0
Kayla Walker	TX	Primary Care Nurse Practitioner	$220.3K	$0
Joshua Worley	TX	Foot & Ankle Surgery Podiatrist	$205K	$0
Siddharth Jain	TX	Urology Physician	$195.3K	$0
Yong He	TX	Neurology Physician	$186.8K	$0
Richard Ahn	TX	Neurology Physician	$152.4K	$0

Santosh Patel — Billing Profile & Reimbursement Data

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Santosh 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