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    OpenPayerNPI Medicare & MedicaidManubhai Patel
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    Manubhai Patel — Billing Profile & Reimbursement Data

    NPI 1487659850 · Jackson, MS · Medical Oncology Physician

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    Manubhai Patel is a medical oncology physician provider located in Jackson, Mississippi. This profile covers 62 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
    OrganizationManubhai Patel
    Address2969 Curran Dr N
    CityJackson
    StateMS
    ZIP39216
    TaxonomyMedical Oncology Physician
    NPI EnumeratedJune 14, 2005

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$0

    Key Findings

    This provider reports Total Medicare revenue of $1.9M and has no Medicaid billing on file, so operations are effectively single‑payer and heavily concentrated in the Medicare population. The absence of any Medicaid claims means payer diversification is limited and revenue is tied to Medicare utilization and reimbursement patterns.

    Revenue concentration is high: the precomputed top 3 Medicare codes account for 67.1% of the provider's total Medicare revenue, driven by J9271 ($546K, 29.0%), J9144 ($444.6K, 23.6%), and J9299 ($271.9K, 14.5%). This three‑code concentration indicates that a small set of high‑cost oncology drugs comprise the majority of billed Medicare dollars.

    The CPT/HCPCS mix is consistent with an infusion‑based medical oncology practice: high revenue comes from biologic and immunotherapy agents such as J9271 (pembrolizumab), J9144 (daratumumab), and J9299 (nivolumab), and the portfolio also includes chemotherapy administration codes (96413, 96401) and infusion visit codes (96365, 96367). Together these codes indicate the provider delivers in‑office systemic cancer therapy and associated supportive infusions rather than primarily procedural or surgical services.

    Competitive standing is mixed across leading drugs: J9144 ranks #157 of 615 nationally (74th percentile), indicating above‑typical national volume for that drug, while J9271 ranks #849 of 1841 (53th percentile) and J9299 ranks #299 of 505 (41th percentile), both characterized as typical or modest volumes relative to national peers. Overall, the provider is not a dominant national player across all top drugs but has relatively stronger positioning for daratumumab.

    Office E/M activity is unusually high relative to peers: 99214 shows 1.1K claims and $94.4K revenue (5.0% of Medicare revenue) and is labeled an "extreme outlier," ranking #9021 of 479517 providers nationally (98th percentile). That elevated 99214 volume suggests extensive ambulatory management and follow‑up of complex patients in addition to infusion services.

    Supportive care and ancillary services form a meaningful secondary revenue stream: examples include J1449 (eflapegrastim) with $92.7K (4.9%), J1439 (ferric carboxymaltose) with $60K (3.2%) reported across 60K claims, and J2506 (pegfilgrastim) with $35.6K (1.9%). The presence of growth factors, iron infusions, antiemetics (J0185), and IVIG (J1568) indicates bundled oncology supportive care alongside primary antineoplastic agents.

    Operationally, there is a notable imbalance between high claim counts and low per‑claim payments for certain items (for example J1439 shows 60K claims and $60K revenue at $1 avg paid/claim), which may reflect frequent low‑unit supply billing within the practice; these patterns should be interpreted in the context of practice workflows and billing processes.

    Tenure data show the provider's NPI was enumerated on 2005-06-14 (~21 years ago), indicating long‑standing enrollment in Medicare that may reflect established referral relationships and an experienced oncology practice platform.

    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.

    62 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg13,000$40$546K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj11,700$40$444.6K
    J9299Injection, nivolumab, 1 mg12,360$20$271.9K
    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…1,100$90$94.4K
    J1449Injection, eflapegrastim-xnst, 0.1 mg3,560$30$92.7K
    J9264Injection, paclitaxel protein-bound particles, 1 mg7,000$10$63K
    J1439Injection, ferric carboxymaltose, 1 mg60,000$1$60K
    J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg1,830$30$58.6K
    J0897Injection, denosumab, 1 mg3,060$20$55.1K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg520$70$35.6K

    Showing 1–10 of 62

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 62 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    62 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271111016,700$40$1M
    J914441013,050$40$631.7K
    J929971021,120$20$569.7K
    J15685107,420$30$393.8K
    J14497104,160$30$149.3K
    J926441014,550$10$145.7K
    J0897551103,030$20$95.7K
    J2506710910$80$91.5K
    J143942042,000$1$41.6K
    J92175350170$130$30.4K

    Showing 1–10 of 62

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guangzhi QuMSHematology & Oncology Physician$9.1M$0
    Tammy YoungMSMedical Oncology Physician$5.1M$0
    Justin BakerMSHematology & Oncology Physician$4.1M$0
    Nicole ClevelandMSMedical Oncology Physician$2.8M$0
    Thomas WilliamsonNCHematology & Oncology Physician$2.4M$0
    Elizabeth HerringtonMSMedical Oncology Physician$1.9M$0
    Natale SheehanMSMedical Oncology Physician$1.4M$0
    Bobby GrahamMSHospice and Palliative Medicine (Internal Medicine) Physician$143.8K$0
    Donald TisdaleMSFamily Nurse Practitioner$113.4K$0
    Meaghan JohnsonMSFamily Nurse Practitioner$98.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of Mississippi - University Of Mississippi Medical CenterMSGeneral Acute Care Hospital$0$507.2M
    Central Ms. Planning & Dev. District, Inc.MSCase Management Agency$0$47.2M
    St Dominic-jackson Memorial HospitalMSGeneral Acute Care Hospital$0$37.1M
    Afnb Home Care LLCMSIn Home Supportive Care Agency$0$25.6M
    Ms Children's Home SocietyMSCommunity/Behavioral Health Agency$0$19.4M
    Mississippi State Department Of HealthMSCommunity/Behavioral Health Agency$0$14.9M
    Ms State Department Of HealthMSCommunity/Behavioral Health Agency$0$14.5M
    Mississippi Asthma & Allergy Clinic PAMSAllergy & Immunology Physician$0$8.2M
    Mississippi Methodist Hospital & Rehabilitation Center, Inc.MSGeneral Acute Care Hospital$0$5.7M
    Jerrick RoseMSPediatric Dentistry$0$4.6M

    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. Mississippi Distribution
    Manubhai Patel — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi