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    OpenPayerNPI Medicare & MedicaidKamal Patel
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    Kamal Patel — Billing Profile & Reimbursement Data

    NPI 1598747164 · Little Rock, AR · Hematology & Oncology Physician

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    Kamal Patel is a hematology & oncology physician provider located in Little Rock, Arkansas. This profile covers 115 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKamal Patel
    Address8901 Carti Way
    CityLittle Rock
    StateAR
    ZIP72205
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedNovember 18, 2005

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

    Payer SourceTotal Paid
    Medicare$5.7M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only biller: Total Medicare revenue is $5.7M while there is no Medicaid billing on file, so payer mix is highly concentrated on Medicare rather than split across both public payers. The absence of any Medicaid codes on file means in‑state Medicaid exposure is negligible for analyses of this NPI.

    Revenue is highly concentrated in three immunotherapy drugs: the precomputed top-3 Medicare codes by revenue account for 63.6% of this provider's total Medicare revenue, driven by J9271 ($1.5M, 28.4%), J9299 ($1.3M, 23.9%), and J9022 ($606.7K, 11.3%). This concentration indicates that a few high-cost oncology agents dominate the revenue profile rather than a broad mix of lower-cost services.

    The code mix and volumes indicate an outpatient oncology infusion practice focused on immune checkpoint inhibitors and systemic cancer therapies: high-revenue codes include J9271, J9299, and J9022, and the practice also reports significant chemotherapy administration and infusion procedure activity (96413: 1.6K claims, $137.9K revenue; 96375: 2.4K claims, $26.8K revenue). Together these patterns are consistent with frequent IV administration of cancer biologics and on‑site infusion services rather than a primarily diagnostic or surgical specialty.

    On competitive standing, this provider is an outlier nationally for key oncology agents: J9299 ranks #6 of 505 providers nationally (99th percentile; extreme outlier) and J9271 ranks #58 of 1841 (97th percentile; notably above typical national volume), signaling unusually high national volume for nivolumab and elevated volume for pembrolizumab relative to peers. At the same time J9022 is ranked #4 of 39 providers (92th percentile; typical, unremarkable volume), meaning the provider is a top-volume participant for some but not all of the high-cost immunotherapies.

    Several service and administration codes are also extreme outliers, showing high intensity of office-based oncology care: 99214 (2K claims, $174.8K revenue) ranks #1236 of 479517 providers (100th percentile; extreme outlier) and 96413 ranks #11 of 7514 providers (100th percentile; extreme outlier), with 96375 also flagged at the 100th percentile. These elevated E/M and infusion administration volumes corroborate a high-throughput ambulatory oncology operation with substantial visit- and infusion-related billing.

    The provider’s portfolio includes significant use of supportive agents and biosimilars alongside checkpoint inhibitors, which shapes both clinical services and drug procurement exposure: notable entries include J0897 (14.6K claims, $277K), Q5126 (4.6K claims, $258.2K), Q5115 (4.3K claims, $154.8K), J0885 (22.1K claims, $132.8K) and Q5118 (3.6K claims, $90K). This mix of growth‑factor/ supportive care products and biosimilar monoclonal antibodies suggests integrated management of oncology patients (both tumor‑directed and supportive care) and potential sensitivity to biologic pricing and biosimilar adoption.

    The NPI tenure is long-standing: NPI enumerated 2005-11-18 (~21 years ago), indicating an established provider presence in the market that aligns with sustained, high-volume Medicare activity rather than a recent entrant. This duration supports interpretation of the billing profile as reflective of an enduring clinical operation rather than a short-term fluctuation.

    From a payer‑management and contract perspective, the heavy reliance on a small set of high-cost oncology drugs (top 3 codes = 63.6% of Medicare revenue) creates both negotiating leverage and concentration risk: shifts in reimbursement, utilization, or clinical guidelines for pembrolizumab, nivolumab, or atezolizumab could materially affect overall revenue. Coupled with the lack of Medicaid billing on file, downstream revenue sensitivity is concentrated in Medicare market dynamics and oncology drug utilization patterns rather than in-state Medicaid policy.

    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.

    115 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg35,400$40$1.5M
    J9299Injection, nivolumab, 1 mg55,540$20$1.3M
    J9022Injection, atezolizumab, 10 mg9,480$60$606.7K
    J0897Injection, denosumab, 1 mg14,580$20$277K
    Q5126Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg4,610$60$258.2K
    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…2,030$90$174.8K
    J1437Injection, ferric derisomaltose, 10 mg9,300$20$158.1K
    Q5115Injection, rituximab-abbs, biosimilar, (truxima), 10 mg4,300$40$154.8K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg4,420$40$154.7K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…1,590$90$137.9K

    Showing 1–10 of 115

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 115 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    115 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927134020,700$40$896.3K
    J929913015,660$20$432.9K
    J90221104,940$60$407.4K
    Q51261103,210$60$174.1K
    J15694102,560$40$120.3K
    J14375206,450$20$107.8K
    Q51152202,800$30$95.9K
    J0897111602,580$20$89.7K
    Q51182102,110$20$64.3K
    J2506210580$80$40.4K

    Showing 1–10 of 115

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Arkansas Radiation Therapy Institute IncARHematology & Oncology Physician$0$11M
    Central Arkansas Radiation Therapy Institute IncARRadiation Oncology Physician$6.7M$3.6M
    Ryan HallARHematology & Oncology Physician$4.6M$0
    Balagopalan NairARHematology & Oncology Physician$4.1M$0
    Lawrence MendelsohnARHematology & Oncology Physician$3.4M$0
    Jamie BurtonARHematology & Oncology Physician$2.8M$0
    Kewen JaussARHematology & Oncology Physician$2.8M$0
    Mariann HarringtonARHematology & Oncology Physician$2.7M$0
    Appalanaidu SasapuARHematology & Oncology Physician$2.6M$0
    Derek MiddletonARHematology & Oncology Physician$2.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Arkansas For Medical SciencesARGeneral Acute Care Hospital$0$87.2M
    University Of Arkansas For Medical SciencesARInternal Medicine Physician$0$28.6M
    University Of Arkansas For Medical SciencesARPediatrics Physician$0$27.6M
    Arkansas Department Of Health ImmunizationsARPublic Health or Welfare Agency$0$19.3M
    Baptist HealthARGeneral Acute Care Hospital$0$16.4M
    Arkansas Department Of Health Family Planning ClinicARPublic Health or Welfare Agency$0$15.6M
    Pediatrix Medical Group Of Arkansas PAARNeonatal-Perinatal Medicine Physician$0$14.6M
    Chenal Family Therapy, PlcARMental Health Counselor$0$12.2M
    Francis A. Allen School For Exceptional Children, Inc.ARDevelopmentally Disabled Services Day Training Agency$0$11.9M
    Arkansas Department Of Health StdARPublic Health or Welfare Agency$0$8.4M

    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. Arkansas Distribution
    Kamal Patel — 17 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas