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NPI 1598059826 · Moline, IL · Gastroenterology Physician
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Amitkumar Patel is a gastroenterology physician provider located in Moline, Illinois. This profile covers 15 Medicare and 11 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 | Amitkumar Patel |
| Address | 545 Valley View Dr |
| City | Moline |
| State | IL |
| ZIP | 61265 |
| Taxonomy | Gastroenterology Physician |
| NPI Enumerated | June 3, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $577.7K |
| Medicare | $142.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 280 | $200 | $56.8K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 280 | $60 | $17.6K |
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 570 | $30 | $14.2K |
| 43251 | An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. The physician removes one or more lesions using a snare… | 90 | $130 | $12.2K |
| 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… | 140 | $80 | $11.3K |
| 91110 | The provider performs a capsule endoscopy for gastrointestinal tract imaging from esophagus to ileum. He interprets the results and prepares a report for this service. | 10 | $550 | $6K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 120 | $40 | $4.8K |
| 88312 | The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets… | 80 | $60 | $4.8K |
| 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… | 30 | $120 | $3.9K |
| 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… | 30 | $100 | $2.9K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 88305 | 304 | 580 | 610 | $30 | $38.2K |
| 45385 | 22 | 640 | 60 | $270 | $23.4K |
| 99214 | 8,220 | 18,540 | 110 | $80 | $17.1K |
| 45380 | 120 | 670 | 50 | $160 | $12.7K |
| 43239 | 28 | 680 | 70 | $110 | $9.6K |
| 99213 | 12,828 | 17,390 | 70 | $60 | $8.8K |
| 43251 | 3 | 50 | 20 | $280 | $8.7K |
| 91110 | 36 | 40 | 20 | $310 | $6.2K |
| 88312 | 88 | 310 | 40 | $50 | $5.7K |
| 99204 | 4,216 | 8,580 | 30 | $110 | $5.6K |
Showing 1–10 of 15
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 1,660 | $170 | $280.4K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 910 | $240 | $212.7K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 320 | $110 | $35.3K |
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 370 | $50 | $17.5K |
| 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… | 500 | $20 | $10.9K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 90 | $100 | $9.1K |
| 43251 | An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. The physician removes one or more lesions using a snare… | 30 | $160 | $4.5K |
| 88312 | The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets… | 130 | $30 | $3.7K |
| 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… | 40 | $70 | $2.9K |
| 88313 | The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,… | 30 | $20 | $680 |
Showing 1–10 of 11
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
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 242 | 350 | 400 | $70 | $514.7K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 14 | 300 | 70 | $180 | $50.5K |
| 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… | 13,677 | 14,680 | 300 | $50 | $48.7K |
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 402 | 610 | 820 | $40 | $46.6K |
| 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… | 5,615 | 14,190 | 280 | $20 | $38.9K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 2 | 90 | 40 | $220 | $26.8K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 17 | 120 | 50 | $140 | $25K |
| 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… | 1,587 | 2,800 | 60 | $80 | $17.7K |
| 88313 | The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,… | 54 | 80 | 90 | $30 | $7.4K |
| 88312 | The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets… | 30 | 80 | 80 | $30 | $5.9K |
Showing 1–10 of 11
Other providers in the same ZIP code as Amitkumar Patel, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Robert Young Center For Community Mental Health | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $12.8M |
| Ji Ma | IL | Dentist | $0 | $7.1M |
| City Of Moline | IL | Ambulance | $421K | $4.8M |
| Bethany For Children & Families | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $5M |
| Unitypoint At Home | IL | Home Health Agency | $0 | $3.5M |
| Community Health Care, Inc. | IL | Federally Qualified Health Center (FQHC) | $0 | $3.3M |
| May Yazeji | IL | Specialist | $18.8K | $1.6M |
| Sora Reddy | IL | Interventional Cardiology Physician | $1.3M | $81K |
| Rsc Illinois LLC | IL | Ambulatory Surgical Clinic/Center | $822.5K | $407.9K |
| Aswartha Pothula | IL | Interventional Cardiology Physician | $870.4K | $121.2K |
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