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    OpenPayerNPI Medicare & MedicaidSnehal Patel
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    Snehal Patel — Billing Profile & Reimbursement Data

    NPI 1629038393 · York, PA · Family Medicine Physician

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    Snehal Patel is a family medicine physician provider located in York, Pennsylvania. This profile covers 18 Medicare and 4 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
    OrganizationSnehal Patel
    Address1550 Rodney Road
    CityYork
    StatePA
    ZIP17408
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMarch 25, 2006

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

    Payer SourceTotal Paid
    Medicare$199.4K
    Medicaid$35.2K

    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.

    18 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…960$80$72.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit270$120$33.4K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…610$50$31.9K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…210$60$12.3K
    90682This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not…160$70$11.1K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…30$270$6.7K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit30$160$4.8K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…100$50$4.8K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…30$160$4.6K
    G0008Administration of influenza virus vaccine160$30$4.5K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921431423,230100$80$14.5K
    993081601,480110$50$14.3K
    99490354510170$40$12.6K
    G04392085,25060$110$9.5K
    1711063183070$70$9.2K
    906779212,94020$280$7.2K
    992048,23310,29030$110$5K
    993041920040$60$4.6K
    G04381651,02020$130$3.1K
    994953081,55020$130$3.1K

    Showing 1–10 of 18

    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.

    4 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…360$50$19.3K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…900$20$15.4K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…10$50$640
    G8510Screening for depression is documented as negative, a follow-up plan is not required90$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    4 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…3,3018,160210$60$68.4K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…935950200$20$24K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…133810140$10$10.7K
    G8510Screening for depression is documented as negative, a follow-up plan is not required479920100$1$10

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Pinnacle Health Medical ServicesPAFamily Medicine Physician$0$14.1M
    Enrico GiangerusoVAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Thomas QuinnPARheumatology Physician$883.9K$0
    Susan LeeNJInternal Medicine Physician$769K$0
    Vlastimil SmetkaSCFamily Medicine Physician$457.3K$0
    Daniel KimPAOrthopaedic Surgery Physician$451K$2.2K
    Henry VenbruxPAAnatomic Pathology & Clinical Pathology Physician$416.5K$18.3K
    Kelly CarusoPAFamily Medicine Physician$29.2K$390.6K
    John EllsworthUTUrology Physician$398.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Colonial House, IncPASubstance Abuse Rehabilitation Facility$0$9.2M
    Upmc MemorialPAGeneral Acute Care Hospital$0$6.7M
    Wellspan Ems LLCPAAmbulance$983.8K$2M
    Kyle ChapmanPAPhysical Medicine & Rehabilitation Physician$409.6K$0
    Preeti MurudkarPAFamily Medicine Physician$117K$45.3K
    Zhenhui LiPANeurology Physician$83.7K$820
    Kimberlee MudgePASurgery Physician$82.9K$0
    Ravi DukkipatiPANeurology Physician$76.2K$0
    So Ri ParkPAOptometrist$47.2K$0
    Ignacio PratsPASurgery Physician$32.3K$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. Pennsylvania Distribution
    Snehal Patel — 3 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Snehal Patel — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania