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    OpenPayerNPI Medicare & MedicaidKalpesh Patel
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    Kalpesh Patel — Billing Profile & Reimbursement Data

    NPI 1639185580 · Phoenix, AZ · Diagnostic Radiology Physician

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    Kalpesh Patel is a diagnostic radiology physician provider located in Phoenix, Arizona. This profile covers 59 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
    OrganizationKalpesh Patel
    Address19829 N 27th Ave
    CityPhoenix
    StateAZ
    ZIP85027
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedJuly 31, 2006

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

    Payer SourceTotal Paid
    Medicare$409.1K
    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.

    59 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.650$170$113.1K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.530$100$51.2K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…250$130$32.5K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.290$110$31.1K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…1,120$20$17.9K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.170$80$14K
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…170$80$13.1K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.410$30$12.2K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…160$50$8.6K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.260$30$8.4K

    Showing 1–10 of 59

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 59 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    59 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    741775420110$100$15.8K
    7055321522050$140$14.3K
    9388012652050$120$9.6K
    7417815521030$200$8.8K
    7055119223060$80$8.4K
    7045084340180$30$8.1K
    712501538070$60$7.8K
    9397013152050$100$7.6K
    741761737080$80$7.4K
    712752232060$70$6.9K

    Showing 1–10 of 59

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Appalachian Regional Healthcare, Inc.KYGeneral Acute Care Hospital$0$107.9M
    T J Samson Community HospitalKYGeneral Acute Care Hospital$0$95.7M
    Smi Imaging, LLCAZDiagnostic Radiology Physician$0$90.4M
    Appalachian Regional Healthcare, Inc.KYGeneral Acute Care Hospital$0$55.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Appalachian Regional Healthcare, Inc.KYGeneral Acute Care Hospital$0$38.9M
    Arh Tug Valley Health Services, Inc.KYGeneral Acute Care Hospital$0$33.8M
    Appalachian Regional Healthcare, Inc.KYGeneral Acute Care Hospital$0$33.4M
    Sonoran Radiology LtdAZVascular & Interventional Radiology Physician$0$33.4M
    Arh Mary Breckinridge Health Services, Inc.KYCritical Access Hospital$0$33.2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Creative Networks, L.L.C.AZCase Management Agency$0$159.4M
    Rescare Arizona, Inc.AZIntellectual Disabilities Intermediate Care Facility$0$99.3M
    HonorhealthAZGeneral Acute Care Hospital$0$65.7M
    Sonoran Sky Community Services, Inc.AZIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$38.9M
    United Cerebral Palsy Association Of Central ArizonaAZDevelopmentally Disabled Services Day Training Agency$0$31.1M
    Tp Deer Valley Operations, LLCAZAssisted Living Facility$0$18.8M
    Kci Usa, Inc.AZDurable Medical Equipment & Medical Supplies$0$15.9M
    Neighborhood Outreach Access To HealthAZFederally Qualified Health Center (FQHC)$0$14.1M
    North Valley Pediatric Therapy, LLCAZMulti-Specialty Clinic/Center$0$11.1M
    Loop 101 Emergency Physicians LLCAZEmergency Medicine Physician$0$9.1M

    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. Arizona Distribution
    Kalpesh Patel — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona