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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRitesh Patel
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    Ritesh Patel — Billing Profile & Reimbursement Data

    NPI 1548371982 · Schaumburg, IL · Internal Medicine Physician

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    Ritesh Patel is a internal medicine physician provider located in Schaumburg, Illinois. This profile covers 40 Medicare and 53 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRitesh Patel
    Address800 E Woodfield Rd
    CitySchaumburg
    StateIL
    ZIP60173
    TaxonomyInternal Medicine Physician
    NPI EnumeratedAugust 31, 2006

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

    Payer SourceTotal Paid
    Medicaid$2.2M
    Medicare$255.6K

    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.

    40 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…720$90$65.1K
    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…420$100$41.7K
    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…130$140$18.2K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…90$180$15.9K
    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…160$100$15.1K
    0241UN/A100$140$13.8K
    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…230$60$13.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit90$130$12.1K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…20$360$5.4K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…320$20$5.1K

    Showing 1–10 of 40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    40 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306835930230$70$21.8K
    G018116017070$80$20.1K
    992337415,990100$100$18.7K
    A950092100150$90$17.7K
    9921481118,540110$80$17.1K
    G04391,6664,03070$130$13.6K
    992917492,94050$170$13.4K
    7845253257070$140$13.2K
    992325,9577,96090$60$12.4K
    844437053080$20$11K

    Showing 1–10 of 40

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    53 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…14,270$70$941.9K
    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…6,390$50$293.8K
    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…2,300$40$94.3K
    0241UN/A660$130$87K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…4,740$20$75.8K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…4,720$20$70.9K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.4,440$10$53.3K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.5,190$10$51.9K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…2,830$20$51K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.620$80$50.6K

    Showing 1–10 of 53

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    53 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…7891,220540$60$179.4K
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…19110200$40$111.1K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.235350390$50$107.7K
    0241UN/A57260120$100$91.8K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.184740960$10$75.9K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…113530840$10$73.9K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…48370560$10$60.5K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…63120250$20$49.1K
    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…8814,680300$50$48.7K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…193830700$1$47.5K

    Showing 1–10 of 53

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jennifer Bellucci JacksonILFamily Medicine Physician$260.2K$18.9M
    Nada AldallalILPediatrics Physician$0$9.5M
    Ven AduanaILAnatomic Pathology & Clinical Pathology Physician$125.7K$5.9M
    Saad AhmadILOphthalmology Physician$3.3M$2.4M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Michael AppiagyeiILInternal Medicine Physician$52.7K$5.1M
    Veronika KroinILPediatrics Physician$0$4.7M
    Mohamed AdenwallaILOphthalmology Physician$2.3M$2.4M
    James UrbanILAnatomic Pathology & Clinical Pathology Physician$204.1K$4.5M
    Michelangelo MilanoILAnatomic Pathology & Clinical Pathology Physician$123.8K$4.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quest Diagnostics LLC IlILClinical Medical Laboratory$3.5M$50.7M
    Alpha Lab Services IncILClinical Medical Laboratory$15.4M$2.4K
    Prism Health Care Services, Inc.ILDurable Medical Equipment & Medical Supplies$0$4.9M
    Trinity Care Providers IncILIn Home Supportive Care Agency$0$3.7M
    Laxmi DeshabathiniILFamily Nurse Practitioner$3.3M$13.7K
    Solomon SagerILClinical Cardiac Electrophysiology Physician$1M$236.9K
    Mednow Laboratory LLCILClinical Medical Laboratory$1.1M$0
    Parag DoshiILInterventional Cardiology Physician$885K$122.5K
    Aasita PatelILCardiovascular Disease Physician$843.1K$72.5K
    Elsayed MohamedILInterventional Cardiology Physician$790K$38.8K

    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. Illinois Distribution
    Ritesh Patel — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Ritesh Patel — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois