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

Why is the Medicaid comparison limited to Indiana 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. Indiana (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.

Pragnaben Patel (NPI 1528124799)

Field	Value
Entity Type	Individual
Organization	Pragnaben Patel
Address	1606 N 7th St
City	Terre Haute
State	IN
ZIP	47804
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	December 29, 2006

Payer Source	Total Paid
Medicare	$20.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	260	$30	$8.7K
95908	In this procedure, the provider performs three or four nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory…	140	$50	$6.8K
95907	In this procedure, the provider performs one or two nerve conduction studies, a diagnostic test that measures the speed of conduction of an electrical impulse through a peripheral nerve to determine…	60	$40	$2.2K
95909	In this procedure, the provider performs five or six nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory…	30	$50	$1.6K
95885	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction studies. The provider performs…	100	$10	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Pragnaben Patel — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95886	10	150	80	$60	$7K
95909	34	100	20	$90	$2.8K
95885	5	30	30	$40	$1.9K
95908	1	50	20	$70	$1.9K
95907	1	10	20	$40	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Union Hospital Inc.	IN	General Acute Care Hospital	$0	$47.1M
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Terre Haute Regional Hospital, L.P.	IN	General Acute Care Hospital	$0	$16.7M
Union Hospital, Inc.	IN	Family Medicine Physician	$0	$6.9M
Union Hospital, Inc.	IN	Critical Access Hospital	$0	$4.1M
Ejaz Shamim	IL	Diagnostic Radiology Physician	$34.5K	$540.6K
Vuppala Reddy	IN	Internal Medicine Physician	$516.3K	$0
Millie Kooistra	IN	Family Nurse Practitioner	$414.4K	$0
Neil Kabous	IN	Cardiovascular Disease Physician	$326.6K	$0
Nawar Mercho	IN	Cardiovascular Disease Physician	$309.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hamilton Center, Inc.	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$84.5M
Hamilton Center, Inc.	IN	Psychiatric Hospital	$0	$28.6M
Hamilton Center, Inc.	IN	Community/Behavioral Health Agency	$0	$22.1M
Cep America LLC	IN	Emergency Medicine Physician	$0	$9M
East 53rd Street Dental-3, PC	IN	General Practice Dentistry	$0	$4.8M
Gaurav Verma	IN	Nephrology Physician	$551.8K	$0
Manish Gera	IN	Nephrology Physician	$543K	$0
Raj Jeevan	IN	Nephrology Physician	$377.3K	$0
Stephen Fern	IN	Orthopaedic Surgery Physician	$283.6K	$0
Carlos Belmar	IN	Orthopaedic Surgery Physician	$191.6K	$0

Pragnaben Patel — Billing Profile & Reimbursement Data

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Pragnaben Patel — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References