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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRahul Pathak
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    Rahul Pathak — Billing Profile & Reimbursement Data

    NPI 1487819413 · Orlando, FL · Internal Medicine Physician

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    Rahul Pathak is a internal medicine physician provider located in Orlando, Florida. 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
    OrganizationRahul Pathak
    Address86 W Underwood St
    CityOrlando
    StateFL
    ZIP32806
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJuly 18, 2008

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

    Payer SourceTotal Paid
    Medicare$518.6K
    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
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…4,200$80$348.6K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…290$210$61.8K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.250$100$25.2K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…200$120$23.8K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…230$90$21.8K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…120$90$10.6K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…120$60$7.1K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…40$140$6.3K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…50$100$5.1K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…40$130$4.5K

    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
    99309142,150290$80$45K
    993491,1411,570140$90$27.4K
    992332,7019,970100$90$20.1K
    9931021396080$110$19.2K
    9923211,12413,090120$60$17.5K
    993067171,17070$140$15.5K
    992237,14811,11060$130$12.5K
    992391,4334,17080$90$9.5K
    9949692,07020$190$6.8K
    994976062,37050$70$6.7K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orlando Health, Inc.FLGeneral Acute Care Hospital$0$105.5M
    Orlando Health Medical Group IncFLInternal Medicine Physician$0$57.6M
    South Lake Hospital, Inc.FLGeneral Acute Care Hospital$0$16.9M
    Orlando Health Central, Inc.FLGeneral Acute Care Hospital$0$12.5M
    Orlando Physicians Network IncFLInternal Medicine Physician$0$9.4M
    Yuanbin ChenFLMedical Oncology Physician$2.7M$0
    Amarilis TorresFLRheumatology Physician$1.7M$0
    Ernesto RodriguezFLRheumatology Physician$1.6M$0
    David LewFLCardiovascular Disease Physician$1.6M$0
    Orlando Surgery Center, LLCFLAmbulatory Surgical Clinic/Center$1.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emergency Physicians Of Central Florida LLPFLEmergency Medicine Physician$0$50M
    Nemours Children's Health, Downtown Orlando, Specialty CareFLMulti-Specialty Clinic/Center$0$44.4M
    Dva Renal Healthcare IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$14.5M
    Elia MavrofridesFLOphthalmology Physician$6.2M$240
    Samuel HoustonFLOphthalmology Physician$4.2M$39.3K
    Matthew CunninghamFLOphthalmology Physician$4M$1.8K
    Eric FeinsteinFLOphthalmology Physician$3.4M$1.5K
    Jaya KumarFLOphthalmology Physician$3.4M$3K
    John RandolphFLOphthalmology Physician$3M$0
    Gokul KumarFLOphthalmology Physician$3M$0

    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. Florida Distribution
    Rahul Pathak — 3 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida