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    OpenPayerNPI Medicare & MedicaidJanaki Patel
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    Janaki Patel — Billing Profile & Reimbursement Data

    NPI 1588902399 · Berkeley Heights, NJ · Rheumatology Physician

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    Janaki Patel is a rheumatology physician provider located in Berkeley Heights, New Jersey. This profile covers 13 Medicare and 1 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
    OrganizationJanaki Patel
    Address1 Diamond Hill Rd
    CityBerkeley Heights
    StateNJ
    ZIP07922
    TaxonomyRheumatology Physician
    NPI EnumeratedJanuary 29, 2013

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

    Payer SourceTotal Paid
    Medicare$22.2K
    Medicaid$2K

    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.

    13 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…100$90$8.7K
    99204The 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…70$120$8.3K
    86480The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.20$60$1.3K
    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.90$10$900
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.90$10$690
    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…20$30$550
    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…80$10$530
    86140The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein.100$10$500
    85652The lab analyst performs a test on patient blood to evaluate the rate of sedimentation of red blood cells using an automated test platform.100$1$310
    87341The lab analyst performs a test to confirm the presence of hepatitis B surface antigen, also called HBsAg, using a neutralization enzyme immunoassay technique, such as EIA.20$10$190

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    86480172050$60$110.8K
    8230619825050$30$79K
    8005327956090$10$50.8K
    85025443750120$10$24.2K
    992147,83613,640130$90$23.6K
    86140349050$10$15K
    364151,2372,200110$10$11.1K
    8455013614080$1$10.6K
    86431314060$10$9.8K
    85652227030$1$9.6K

    Showing 1–10 of 13

    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.

    1 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…80$30$2K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Jersey median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,9743,790580$60$204K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kings Physician Services, PCNYDiagnostic Radiology Physician$0$47.3M
    Community Care Physicians, PLLCNYInternal Medicine Physician$0$41.8M
    Michael LiouNYInterventional Cardiology Physician$947.3K$2.6M
    Deepali SharmaNYHematology & Oncology Physician$2.6M$57.1K
    Lance SullenbergerNYCardiovascular Disease Physician$1.6M$13.3K
    Vinod PatelNYInterventional Cardiology Physician$1.1M$349.6K
    Manish MehtaNYVascular Surgery Physician$1.4M$320
    Anthony SalehNYPulmonary Disease Physician$674.9K$626.8K
    David ZelmanNYDiagnostic Radiology Physician$580.2K$563.4K
    Michael BezuevskyNYVascular Surgery Physician$969.9K$72.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John MccormickNJDiagnostic Radiology Physician$1.5M$0
    Michael WaxNJHematology & Oncology Physician$1.5M$0
    Hari NadimintiNJDermatology Physician$1.3M$0
    Summit Medical Group PANJAmbulatory Surgical Clinic/Center$1.1M$4.9K
    Lisa MillsNJMedical Oncology Physician$911.8K$0
    Jennifer ReederNJHematology & Oncology Physician$816.7K$0
    Eric MirskyNJOrthopaedic Surgery Physician$700.6K$0
    Lalitha AnandNJHematology & Oncology Physician$658.6K$0
    Molly GabelNJRadiation Oncology Physician$597.4K$0
    Vinnie ShahNJOphthalmology Physician$542.3K$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. New Jersey Distribution
    Janaki Patel — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Janaki Patel — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey