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 Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia 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. Georgia (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.

Mayur Patel (NPI 1629536776)

Field	Value
Entity Type	Individual
Organization	Mayur Patel
Address	1645 Forest Hill Rd Ste 105
City	Macon
State	GA
ZIP	31210
Taxonomy	Orthopedic Physical Therapist
NPI Enumerated	March 7, 2019

Payer Source	Total Paid
Medicare	$186.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	3,450	$20	$79.4K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	3,780	$20	$71.7K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	300	$70	$22.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	610	$20	$11K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Mayur Patel — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	19	1,830	360	$20	$13.2K
97112	5	1,790	300	$20	$9.2K
97535	35	390	70	$20	$3.7K
97161	1	830	30	$70	$3.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tara Adams	GA	Nurse Practitioner	$2.9M	$0
Robert Thornsberry	GA	Sports Medicine (Orthopaedic Surgery) Physician	$222.4K	$0
William Dasher	GA	Orthopaedic Surgery Physician	$209.8K	$0
Todd Kinnebrew	GA	Orthopaedic Surgery Physician	$196.4K	$0
David Bruce	GA	Physician Assistant	$184.3K	$0
Richard Thomas	GA	Orthopaedic Surgery Physician	$158.7K	$0
William Brooks	GA	Orthopaedic Surgery Physician	$146.3K	$0
Michael Cox	GA	Medical Physician Assistant	$141.7K	$0
Melissa Andrews	GA	Physician Assistant	$126.1K	$0
Ryan Schnetzer	GA	Orthopaedic Surgery Physician	$122.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Pediatrics, PC	GA	Specialist	$0	$32.9M
Cogent Healthcare Of Georgia PC	GA	Internal Medicine Physician	$0	$4.6M
Bradley Sumrall	GA	Medical Oncology Physician	$3.1M	$0
Harry Moore	GA	Medical Oncology Physician	$2.9M	$0
Macon Outpatient Surgery, LLC	GA	Ambulatory Surgical Clinic/Center	$2.2M	$0
Georgia Em-i Medical Services PC	GA	Physician Assistant	$0	$1.9M
Steven Allee	GA	Ophthalmology Physician	$1.7M	$0
Norman Nelson	GA	Ophthalmology Physician	$1.5M	$0
Central Georgia Cancer Care	GA	Specialist	$0	$1.2M
Arpan Bachhawat	GA	Retina Specialist (Ophthalmology) Physician	$1.2M	$0

Mayur Patel — Billing Profile & Reimbursement Data

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Mayur Patel — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References