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NPI 1548600240 · Pleasant Prairie, WI · Pulmonary Disease Physician
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Kunal Patel is a pulmonary disease physician provider located in Pleasant Prairie, Wisconsin. This profile covers 14 Medicare and 15 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Kunal Patel |
| Address | 9555 76th St |
| City | Pleasant Prairie |
| State | WI |
| ZIP | 53158 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | June 27, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $316.8K |
| Medicare | $100.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99291 | Critical 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… | 270 | $170 | $46.1K |
| 99214 | The 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… | 160 | $100 | $15.7K |
| 99232 | The 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… | 210 | $70 | $13.4K |
| 99233 | The 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… | 80 | $100 | $7.8K |
| 99222 | The 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… | 60 | $110 | $5.9K |
| 99213 | The 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… | 90 | $70 | $5.9K |
| 99204 | The 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… | 20 | $120 | $1.7K |
| 32555 | In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter. He performs the procedure using imaging guidance. | 20 | $80 | $1.6K |
| 31645 | The provider uses a rigid or flexible bronchoscope to view the airways and aspirates (sucks out) fluid from the tracheobronchial tree, the branched distribution of airways of the lung that includes… | 20 | $60 | $1.1K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 50 | $10 | $420 |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 2,455 | 9,800 | 80 | $70 | $9.2K |
| 99233 | 728 | 2,110 | 60 | $90 | $8.7K |
| 99291 | 15 | 1,180 | 40 | $160 | $8.5K |
| 99232 | 632 | 3,490 | 60 | $60 | $7.2K |
| 99213 | 3,191 | 9,380 | 60 | $50 | $4.7K |
| 99204 | 2,613 | 3,390 | 30 | $100 | $3.7K |
| 99222 | 309 | 2,200 | 20 | $90 | $3.1K |
| 32555 | 58 | 90 | 20 | $80 | $2K |
| 31645 | 5 | 10 | 20 | $50 | $1.5K |
| 94729 | 105 | 150 | 80 | $20 | $1.4K |
Showing 1–10 of 14
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99291 | Critical 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… | 2,120 | $110 | $233.2K |
| 99232 | The 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… | 1,590 | $20 | $38.1K |
| 99233 | The 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… | 720 | $30 | $21.4K |
| 99214 | The 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… | 420 | $40 | $18K |
| 99213 | The 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… | 200 | $30 | $6.1K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 30 | $10 | $360 |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 10 | $10 | $100 |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 10 | $10 | $70 |
| 1036F | N/A | 220 | $0 | $0 |
| 1126F | The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain. | 110 | $0 | $0 |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 728 | 1,630 | 270 | $40 | $205.3K |
| 99213 | The 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… | 922 | 1,760 | 250 | $40 | $173.2K |
| 99233 | The 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… | 52 | 170 | 240 | $20 | $68.9K |
| 99232 | The 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… | 79 | 240 | 420 | $10 | $58.8K |
| 99291 | Critical 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… | 11 | 120 | 120 | $60 | $56.6K |
| 3008F | No Summary found for this code | 114 | 240 | 240 | $10 | $17.7K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 61 | 80 | 120 | $20 | $13.1K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 65 | 70 | 180 | $10 | $7.3K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 58 | 70 | 160 | $10 | $4.9K |
| 1036F | N/A | 20 | 50 | 170 | $0 | $0 |
Showing 1–10 of 15
Other providers in the same ZIP code as Kunal Patel, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Hospice Alliance, Inc. | WI | Community Based Hospice Care Agency | $0 | $5.4M |
| Nicole Ellish | WI | Behavior Analyst | $0 | $4.5M |
| Marie Johnson | WI | Behavior Analyst | $0 | $2.1M |
| Haileigh Haugh | WI | Behavior Analyst | $0 | $1.5M |
| Dana Ignarski | WI | Behavior Analyst | $0 | $1.4M |
| Srikanth Davuluri | WI | Pulmonary Disease Physician | $94.6K | $342.5K |
| Lauren Snower | WI | Internal Medicine Physician | $179.5K | $192.4K |
| Shou Mei | WI | Diagnostic Radiology Physician | $153.4K | $186.2K |
| Shazia Kamran | WI | Neurology Physician | $96.2K | $202.5K |
| Aurora Surgery Centers, LLC | WI | Ambulatory Surgical Clinic/Center | $286K | $950 |
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