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    OpenPayerNPI Medicare & MedicaidSundip Patel
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    Sundip Patel — Billing Profile & Reimbursement Data

    NPI 1487857025 · Montgomery, AL · Urology Physician

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    Sundip Patel is a urology physician provider located in Montgomery, Alabama. This profile covers 8 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
    OrganizationSundip Patel
    Address2119 E South Blvd
    CityMontgomery
    StateAL
    ZIP36116
    TaxonomyUrology Physician
    NPI EnumeratedJune 11, 2007

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

    Payer SourceTotal Paid
    Medicare$33.8K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…240$40$8.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…80$100$8.1K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…110$60$6.8K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…50$110$4.9K
    52001In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…10$220$2.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$60$1.4K
    74420The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it…30$20$480
    51702The bladder catheter CPT® codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…10$20$270

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992322,2392,530100$60$13.3K
    992222061,59030$90$4.2K
    992316064040$40$4.1K
    5200111010$220$2.8K
    5233226020$110$2.1K
    99221522020$60$1.8K
    51702212030$30$850
    74420113020$30$710

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Shore Hematology Oncology Associates PCNYSpecialist$0$61.9M
    Columbus Regional Healthcare SystemNCGeneral Acute Care Hospital$0$17.2M
    Health Care Authority For Baptist Health, An Affiliate Of UabhsALGeneral Acute Care Hospital$0$16.7M
    Health Care Authority For Baptist Health An Affiliate Of UabhsALGeneral Acute Care Hospital$0$12M
    Health Care Authority For Baptist Health, An Affiliate Of UabhsALInternal Medicine Physician$0$7.5M
    The Health Care Authority For Baptist Health An Affiliate Of UabhsALGeneral Acute Care Hospital$0$5.2M
    Hartsville Medical Group LLCSCInternal Medicine Physician$0$4.2M
    Piedmont Providers LLCGAInternal Medicine Physician$0$1.6M
    The Health Care Authority For Baptist Health, An Affiliate Of UabhsALHematology & Oncology Physician$0$1M
    Columbus Ambulatory Healthcare Services, Inc.GAFamily Medicine Physician$0$882.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alabama Dept. Of Rehabilitation ServicesALCase Management Agency$0$58.2M
    Rehab Early InterventionALSpeech-Language Pathologist$0$39.3M
    Partners In Pediatrics, LLCALPrimary Care Clinic/Center$0$14M
    The Center For Pain Of Montgomery LLCALInterventional Pain Medicine Physician$0$5.9M
    Behavioral Medicine LLCALMental Health Counselor$0$5.9M
    Alabama SmilesALGeneral Practice Dentistry$0$5.5M
    Alabama Department Of Rehabilitation ServicesALMulti-Specialty Clinic/Center$0$3.9M
    Easter Seals Central AlabamaALSpeech-Language Pathologist$0$2.2M
    Excel Rehabilitation, LLC.ALPediatric Occupational Therapist$0$1.9M
    Farragut Dialysis, LLCALEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.1M

    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. Alabama Distribution
    Sundip Patel — 2 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama