Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidKush Patel
    Ask Trek AI about this page

    Kush Patel — Billing Profile & Reimbursement Data

    NPI 1497912018 · Statesville, NC · Urology Physician

    Customize your policy alerts

    Sign up for Kush Patel — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Kush Patel is a urology physician provider located in Statesville, North Carolina. This profile covers 25 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKush Patel
    Address208 Old Mocksville Rd
    CityStatesville
    StateNC
    ZIP28625
    TaxonomyUrology Physician
    NPI EnumeratedMay 21, 2008

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

    Payer SourceTotal Paid
    Medicare$127.8K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52000In 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…150$170$26.3K
    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…250$90$21.8K
    99213The 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…280$60$16.7K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg110$140$15.1K
    55700Code deleted December 31, 2025.40$160$7.1K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…10$560$6.7K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…20$250$5.4K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.50$110$4.7K
    52356The provider performs a 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…10$300$4.2K
    99204The 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…30$110$3.4K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J921766120120$130$20.9K
    992144,58818,060110$80$15.1K
    8708619623040$10$13.7K
    520002728070$150$12.1K
    841534536040$20$11.5K
    52601233020$550$8.8K
    523567011020$450$8.5K
    992131,88916,32070$50$7.1K
    364151,2213,49090$10$6.4K
    7417676780060$70$5.2K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Piedmont Healthcare, P.A.NCInternal Medicine Physician$0$34.1M
    Piedmont Providers LLCGAInternal Medicine Physician$0$1.6M
    Dijana ChristiansonNCInternal Medicine Physician$1.5M$0
    Sean FaheyNCRheumatology Physician$1.2M$0
    Craig DuboisNCNeurology Physician$821.1K$0
    Frank LichtenbergerNCAllergy & Immunology Physician$653.5K$0
    Piedmont Healthcare, PANCEndoscopy Clinic/Center$353K$162.4K
    Duncan MccallNCRheumatology Physician$478.2K$0
    Matthew CarraroNCNeurology Physician$462.7K$0
    Roderick EliasNCNeurology Physician$334.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Homecare Management CorporationNCCommunity/Behavioral Health Agency$0$38.2M
    Addiction Recovery Medical ServicesNCCommunity/Behavioral Health Agency$112.3K$14.1M
    Addiction Recovery Medical Services - ProvidersNCPain Medicine (Anesthesiology) Physician$0$7.6M
    Bob WodeckiNCRheumatology Physician$3.1M$0
    Jerome WatsonNCPhysical Medicine & Rehabilitation Physician$249.2K$0
    John AllanNCCardiovascular Disease Physician$205.8K$0
    Ahmed ElnaggarNCPulmonary Disease Physician$197.7K$0
    Roger HatharasingheNCInternal Medicine Physician$177K$0
    Harsh GovilNCInterventional Pain Medicine Physician$174.9K$0
    Robert AryeeteyNCInfectious Disease Physician$171.7K$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. North Carolina Distribution
    Kush Patel — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina