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    OpenPayerNPI Medicare & MedicaidDivya Patel
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    Divya Patel — Billing Profile & Reimbursement Data

    NPI 1609989870 · Rocky Mount, NC · Specialist

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    Divya Patel is a specialist provider located in Rocky Mount, North Carolina. This profile covers 16 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
    OrganizationDivya Patel
    Address230 N Winstead Ave
    CityRocky Mount
    StateNC
    ZIP27804
    TaxonomySpecialist
    NPI EnumeratedAugust 15, 2006

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

    Payer SourceTotal Paid
    Medicare$414.7K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    20551The provider injects a drug into the origin or insertion site of a tendon to relieve pain, inflammation, and swelling from a diseased or damaged tendon.5,510$30$143.3K
    99213The 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…1,350$60$84.7K
    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…910$90$78.2K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.350$60$20.6K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…380$50$19.4K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…80$190$15.9K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…1,410$10$15.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…80$120$10.1K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…60$150$9K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…30$180$4.8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8030741380100$60$35.4K
    9921436318,060110$80$15.1K
    623235320050$150$11.3K
    992151,3455,72040$110$7.7K
    2709615920040$120$7.2K
    992135016,32070$50$7.1K
    623217212030$160$5.9K
    2055113020$30$5.3K
    20610761,62060$50$5.1K
    992053092,29020$140$4.9K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rachid IdrissiNCPain Medicine (Physical Medicine & Rehabilitation) Physician$197.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Educare Community Living Corporation - North CarolinaNCCommunity/Behavioral Health Agency$0$69.3M
    Nash Hospitals IncNCGeneral Acute Care Hospital$0$42.4M
    Boice-willis Clinic PANCInternal Medicine Physician$0$27.8M
    Wake Emergency Physicians PANCEmergency Medicine Physician$0$8.8M
    Opportunities Industrialization Center, Inc.NCFederally Qualified Health Center (FQHC)$0$8.1M
    County Of NashNCLand Ambulance$1M$2.3M
    County Of HalifaxNCLand Ambulance$495.6K$2.3M
    Boice-willis Clinic, PANCClinical Medical Laboratory$509.1K$735.1K
    Karn GuptaNCNephrology Physician$944.8K$0
    Aristides AssimacopoulosNCInfectious Disease Physician$360.7K$450.7K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Divya Patel — 6 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina