Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New York for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New York only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New York (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Anish Patel (NPI 1629333596)

Field	Value
Entity Type	Individual
Organization	Anish Patel
Address	161 Fort Washington Ave
City	New York
State	NY
ZIP	10032
Taxonomy	Gastroenterology Physician
NPI Enumerated	July 6, 2012

Payer Source	Total Paid
Medicare	$141.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	320	$110	$34.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	440	$70	$30.2K
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…	120	$130	$16.5K
43274	The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…	30	$380	$12K
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.	150	$60	$9.9K
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…	90	$110	$9.7K
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…	60	$140	$8.2K
43238	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he carries out an ultrasound–guided, intramural or transmural fine needle…	30	$200	$5.8K
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…	20	$210	$3.8K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	10	$190	$2.7K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Anish Patel — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	873	1,100	40	$320	$19.4K
99214	5,430	30,450	90	$100	$19K
45380	388	1,220	40	$230	$15K
43239	124	1,290	50	$180	$14.2K
99232	1,210	11,850	80	$70	$13.8K
G0121	202	280	20	$340	$11.3K
43274	14	60	20	$360	$8.9K
99204	1,091	14,170	30	$130	$6.6K
99222	1,038	7,870	30	$110	$5.9K
99443	733	1,200	30	$90	$5.7K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary Imogene Bassett Hospital	NY	Rural Acute Care Hospital	$0	$121.7M
Crystal Run Healthcare Physicians LLP	NY	General Practice Physician	$0	$34.1M
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Ashraf Raslan	NJ	Student in an Organized Health Care Education/Training Program	$1.1M	$0
Wen Fan	NY	Anatomic Pathology & Clinical Pathology Physician	$1.1M	$0
Artin Aharonian	MD	Diagnostic Radiology Physician	$1M	$0
Jinha Park	CA	Diagnostic Radiology Physician	$907.1K	$0
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Ammar Taha	WI	Diagnostic Radiology Physician	$410.5K	$380K
Arik Zaider	NJ	Specialist	$749.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The New York And Presbyterian Hospital	NY	General Acute Care Hospital	$0	$455.2M
Trustees Of Columbia University In The City Of New York	NY	Surgery Physician	$0	$96.9M
Trustees Of Columbia University In The City Of New York	NY	Internal Medicine Physician	$0	$54.9M
Columbia University Health Care, Inc.	NY	Dental Clinic/Center	$0	$29M
Trustees Of Columbia University In The City Of New York	NY	Internal Medicine Physician	$0	$21.4M
Trustees Of Columbia University In The City Of New York	NY	Anatomic Pathology & Clinical Pathology Physician	$254.6K	$7.4M
William Schiff	NY	Ophthalmology Physician	$1.9M	$430
Dean Preddie	NY	Nephrology Physician	$795.6K	$649.2K
David Silvers	NY	Dermatopathology Physician	$1.3M	$0
Gaetano Barile	NY	Ophthalmology Physician	$1.2M	$0

Anish Patel — Billing Profile & Reimbursement Data

Sign up for Anish Patel — Billing Profile & Reimbursement Data policy alerts

Anish Patel — Billing Profile & Reimbursement Data

Sign up for Anish Patel — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References