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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Narendra Patel (NPI 1467657866)

Field	Value
Entity Type	Individual
Organization	Narendra Patel
Address	2419 Lawndale Dr Ste 101
City	Greensboro
State	NC
ZIP	27408
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 18, 2007

Payer Source	Total Paid
Medicare	$2.1M
Medicaid	$0

Key Findings

This provider’s Medicare billing profile is dominated by intravitreal drug therapy and related retina procedures: J0178 (injection, aflibercept) generates $1.6M in revenue and represents 76.8% of the provider’s Medicare income, while J2777 (faricimab) and 67028 (isolated intravitreal injection) contribute $146.2K (7.1%) and $107.5K (5.2%) respectively. The specific code mix—two high-volume biologic injection codes plus a procedure code for isolated vitreous injections—is consistent with a retina-focused ophthalmology practice that delivers recurring, office-based therapeutic injections.

Revenue concentration is very high: the top three Medicare codes account for 89.0% of this provider’s total Medicare revenue, and total Medicare lifetime revenue is $2.1M. This level of concentration indicates that changes in reimbursement or utilization for a small set of intravitreal drugs would materially affect the provider’s revenue base.

The payer mix is effectively single-payer at this provider: Medicare revenue is $2.1M while Medicaid shows none on file. That absence of Medicaid billing means the provider operates without a recorded Medicaid patient volume in the data set, increasing dependence on Medicare reimbursement patterns.

Competitive standing by code is mixed. For the primary revenue driver J0178 the provider ranks #397 of 3204 nationally (88th percentile) but the data label for that code is “typical, unremarkable volume,” suggesting an above‑median position without being an extreme outlier; by contrast J2777 ranks #1525 of 2039 (25th percentile) indicating relatively modest participation with that newer agent.

Although injections drive revenue, the provider shows a notable imaging footprint: 92134 (computerized diagnostic imaging of the retina) appears with 1.8K claims, $51.5K revenue and ranks #1242 of 26868 nationally (95th percentile), described as “notably above typical national volume.” This combination—very high injection revenue plus above-typical retinal imaging volume—aligns with a practice that pairs frequent therapeutic injections with diagnostic OCT imaging workflows.

Evaluation-and-management (E/M) codes generate only a small share of revenue compared with injections: 99214 accounts for $28.9K (1.4% of Medicare revenue) and 99213 for $10.2K (0.5%). The relatively modest E/M totals suggest the business model is procedure- and drug-revenue–centric rather than visit-volume driven.

A few procedure codes show lower-than-peer participation despite nontrivial revenue: J3590 (unclassified biologics) accounts for $63.6K (3.1% of Medicare revenue) but ranks #511 of 631 (18th percentile), indicating this specific billing is less common among peers. Additionally, 67040 (vitrectomy) appears with $10.3K revenue and ranks #85 of 144 (30th percentile), consistent with occasional surgical retina activity rather than a high-volume surgical practice.

The provider’s NPI was enumerated on 2007-06-18 (~19 years ago), indicating long tenure in the Medicare program. This duration supports interpretation of the billing mix as an established practice pattern rather than a short-term anomaly.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,300	$690	$1.6M
J2777	Injection, faricimab‑svoa, 0.1 mg	5,040	$30	$146.2K
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.	1,300	$80	$107.5K
J3590	Unclassified biologics	30	$2,120	$63.6K
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.	1,780	$30	$51.5K
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…	330	$90	$28.9K
92242	The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He…	150	$190	$28.8K
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…	90	$120	$10.7K
67040	The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the…	10	$740	$10.3K
99213	The 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…	180	$60	$10.2K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Narendra Patel — 1 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	16	100	950	$690	$881K
J2777	55	70	12,990	$30	$503.7K
J3590	8	10	30	$2,570	$95K
67028	37	120	780	$90	$80K
67040	5	10	20	$1,100	$20.9K
92014	645	880	110	$80	$17.7K
99214	3,271	18,060	110	$80	$15.1K
92242	2	10	40	$190	$12.1K
92235	27	70	60	$100	$8.7K
67228	11	20	30	$240	$7.6K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Moses Cone Affiliated Physicians, Inc.	NC	Pediatrics Physician	$0	$8.1M
The Charlotte-mecklenburg Hospital Authority	NC	Pediatrics Physician	$0	$8.1M
Carolinas Physicians Network Inc	NC	Pediatrics Physician	$0	$7.3M
John Matthews	NC	Ophthalmology Physician	$975.5K	$0
Brian Zamora	NC	Retina Specialist (Ophthalmology) Physician	$793.6K	$0
Gary Rankin	NC	Ophthalmology Physician	$636.1K	$0
Said Iskandar	VA	Cardiovascular Disease Physician	$462.9K	$0
John Moscona	TX	Interventional Cardiology Physician	$342.3K	$0
Justin Smith	FL	Clinical Cardiac Electrophysiology Physician	$339K	$0
Eric Kozlow	NC	Allergy & Immunology Physician	$209.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aro Community Services, Inc.	NC	Home Health Agency	$0	$18.3M
Monarch	NC	Community/Behavioral Health Agency	$0	$9.6M
Naomi Lane, D.d.s., P.A.	NC	Pediatric Dentistry	$0	$7.2M
Surgical Center Of Greensboro, LLC	NC	Ambulatory Surgical Clinic/Center	$2.9M	$722.1K
Aqeel Haidar	NC	Anatomic Pathology & Clinical Pathology Physician	$1.6M	$0
Natalie Depcik-smith	NC	Specialist	$860.3K	$0
Melissa Munoz	NC	Dermatopathology (Pathology) Physician	$791.3K	$0
Christine Lin	NC	Anatomic Pathology & Clinical Pathology Physician	$706.8K	$0
Frank Aluisio	NC	Orthopaedic Surgery Physician	$248.3K	$0
Richard Ramos	NC	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$230.1K	$0

Narendra Patel — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References