Loading...
NPI 1588662076 · Utica, NY · Interventional Cardiology Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Ashok Patel is a interventional cardiology physician provider located in Utica, New York. This profile covers 29 Medicare and 8 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 | Ashok Patel |
| Address | 2211 Genesee St |
| City | Utica |
| State | NY |
| ZIP | 13501 |
| Taxonomy | Interventional Cardiology Physician |
| NPI Enumerated | July 8, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $354.2K |
| Medicaid | $42.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
29 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 750 | $90 | $69.5K |
| 78452 | In 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… | 210 | $320 | $66.9K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 540 | $110 | $58K |
| J2785 | Injection, regadenoson, 0.1 mg | 850 | $40 | $32.2K |
| 78431 | The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and… | 20 | $1,270 | $24.2K |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 390 | $50 | $17.6K |
| 99223 | The 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… | 100 | $130 | $13.8K |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 40 | $340 | $13K |
| 93015 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 220 | $50 | $10.5K |
| 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… | 150 | $60 | $9.3K |
Showing 1–10 of 29
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
29 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 78431 | 64 | 70 | 60 | $970 | $103.2K |
| A9555 | 59 | 70 | 160 | $340 | $86.2K |
| A9502 | 22 | 180 | 140 | $260 | $49.8K |
| 93306 | 240 | 1,990 | 200 | $110 | $30.7K |
| 78452 | 68 | 900 | 60 | $280 | $25.8K |
| 99214 | 1,412 | 30,450 | 90 | $100 | $19K |
| 99233 | 4,411 | 8,640 | 80 | $100 | $15.8K |
| J2785 | 36 | 490 | 220 | $40 | $14.1K |
| 99232 | 11,721 | 11,850 | 80 | $70 | $13.8K |
| 99213 | 10,246 | 31,440 | 80 | $70 | $12.1K |
Showing 1–10 of 29
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 450 | $40 | $19.3K |
| 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… | 650 | $30 | $18.7K |
| 78452 | In 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… | 30 | $80 | $2.4K |
| 93015 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 70 | $10 | $980 |
| J2785 | Injection, regadenoson, 0.1 mg | 70 | $10 | $630 |
| 99223 | The 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… | 10 | $40 | $470 |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 10 | $30 | $320 |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 10 | $10 | $80 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
8 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… | 5,242 | 16,550 | 220 | $90 | $186.8K |
| 78452 | In 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… | 247 | 340 | 120 | $230 | $132.7K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 735 | 1,710 | 290 | $110 | $129.3K |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 69 | 70 | 130 | $90 | $34.7K |
| 93015 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 182 | 290 | 160 | $50 | $32.9K |
| J2785 | Injection, regadenoson, 0.1 mg | 74 | 130 | 110 | $70 | $27.3K |
| 99223 | The 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… | 1,458 | 1,670 | 40 | $90 | $19.1K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 1,995 | 2,130 | 340 | $10 | $17.8K |
Other providers in the same ZIP code as Ashok Patel, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Resource Center For Independent Living | NY | Home Health Agency | $0 | $163M |
| Cnyhhn Inc | NY | Case Management Agency | $0 | $76M |
| Kids Oneida, Inc. | NY | Community/Behavioral Health Agency | $0 | $25.2M |
| Utica Ambulance Service, Inc. | NY | Land Ambulance | $1M | $5.6M |
| Syed Zaman | NY | Anatomic Pathology & Clinical Pathology Physician | $1.5M | $180 |
| Chanderdeep Singh | NY | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | $91.3K | $0 |
| Randy Niblett | NY | Diagnostic Radiology Physician | $90.1K | $260 |
| Nicholas Grillo | NY | Emergency Medicine Physician | $58.1K | $0 |
| Raphael Alcuri | NY | Diagnostic Radiology Physician | $44.4K | $1.6K |
| Priya Mathew | NY | Registered Dietitian | $20.4K | $0 |
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.