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 & MedicaidManish Patel
    Ask Trek AI about this page

    Manish Patel — Billing Profile & Reimbursement Data

    NPI 1578559860 · Elgin, SC · Urology Physician

    Customize your policy alerts

    Sign up for Manish 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.

    Manish Patel is a urology physician provider located in Elgin, South Carolina. This profile covers 40 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
    OrganizationManish Patel
    Address40 Pinnacle Pkwy
    CityElgin
    StateSC
    ZIP29045
    TaxonomyUrology Physician
    NPI EnumeratedSeptember 22, 2005

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

    Payer SourceTotal Paid
    Medicare$459.7K
    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.

    40 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52224The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…180$540$97.2K
    52214The provider uses a cystoscope passed through the urethra and into the bladder to inspect the structures; he destroys (fulgurates) tissue on the bladder trigone, bladder neck, prostatic fossa,…150$240$36.9K
    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…390$90$36.6K
    51785This study measures the electrical activity in the anal or urethral sphincter muscles.90$310$28.5K
    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$25.6K
    52317The 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…50$470$23.1K
    51725A cystometer measures the bladder's capacity, or bladder pressure. It evaluates the contraction and expulsion activities of the bladder, and is used to diagnose certain urinary disorders.240$90$20.4K
    52649Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men. BPH often causes lower urinary symptoms, with…30$620$18.6K
    52315The provider performs a complicated cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the…50$340$15.1K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.90$140$13K

    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
    64590101020$5,830$110.8K
    6458151020$1,800$30.7K
    992141,9457,860160$80$23.2K
    5264921030$600$23K
    5222411020$430$18.1K
    5200032140100$150$17.3K
    5178511070$220$16.1K
    5231521040$340$12K
    5231711030$370$11.6K
    52356277020$450$11.2K

    Showing 1–10 of 40

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Riverside Radiology And Interventional Associates IncOHDiagnostic Radiology Physician$0$30.3M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Musc Community PhysiciansSCInternal Medicine Physician$0$16.7M
    Musc Community PhysiciansSCFamily Medicine Physician$0$5.6M
    Charles ButlerSCInternal Medicine Physician$3.8M$0
    Lindsay GambleSCFamily Nurse Practitioner$3.7M$0
    Aaron FlandersFLHematology & Oncology Physician$3.5M$0
    Woodrow CokerSCHospitalist Physician$2.6M$0
    Scott SommersSCHematology & Oncology Physician$2.3M$0
    Mohamed El GeneidySCHematology & Oncology Physician$2.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seal Society Of South Carolina IncSCPhysical Therapy Clinic/Center$0$11M
    Camisha WilliamsSCSpeech-Language Pathologist$0$2.4M
    Deidra BurkeSCOccupational Therapist$0$1.9M
    James MartinSCFamily Medicine Physician$305.1K$0
    Yolonda HartSCOccupational Therapist$99.5K$0
    Austin KuhnSCClinical Social Worker$48.2K$21.6K
    Eva ReynoldsSCFamily Nurse Practitioner$38.3K$0
    Carrie BlackSCPhysical Therapist$31.7K$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. South Carolina Distribution
    Manish Patel — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina