Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAshish Parikh
    Ask Trek AI about this page

    Ashish Parikh — Billing Profile & Reimbursement Data

    NPI 1649247487 · Newark, DE · Cardiovascular Disease Physician

    Customize your policy alerts

    Sign up for Ashish Parikh — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Ashish Parikh is a cardiovascular disease physician provider located in Newark, Delaware. This profile covers 30 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAshish Parikh
    Address620 Stanton Christiana Rd
    CityNewark
    StateDE
    ZIP19713
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedMarch 1, 2006

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

    Payer SourceTotal Paid
    Medicare$678.1K
    Medicaid$0

    Key Findings

    Practice revenue is concentrated in Medicare: lifetime Medicare revenue is $678.1K while there is no Medicaid billing on file, making this effectively a single-payer (Medicare) billing profile for state-level analyses. Analysts should treat Medicaid comparators as inapplicable when evaluating payer mix or state Medicaid market share for this provider.

    Top diagnostic and evaluation codes drive the majority of Medicare revenue: the precomputed top three Medicare codes together account for 58.7% of the provider's total Medicare revenue, led by 99214 ($165.3K, 24.4%), 78452 ($139.5K, 20.6%) and 93306 ($91.9K, 13.6%). This concentration signals that a small set of office E/M and cardiac imaging services form the financial backbone of the practice.

    The code mix indicates a cardiology-focused service line centered on noninvasive cardiac imaging and ambulatory evaluation: high-revenue codes include SPECT myocardial perfusion imaging (78452), transthoracic echo (93306), and frequent level-4 established patient visits (99214). Complementary services reported at material volumes—stress testing (93015), EKG recording (93000), vascular duplex studies (93880, 93925, 93970) and ambulatory ECG monitoring (93229)—reinforce a workflow organized around diagnostics, imaging, and outpatient cardiac management.

    Competitive standing is mixed but includes several national outlier positions for high-volume services. The provider ranks as an "extreme outlier" for 99214 (rank #2223 of 479517, 100th percentile) and 78452 (rank #187 of 14946, 99th percentile), and shows an "extreme outlier" position in routine EKG volume for 93000 (rank #507 of 71016, 99th percentile). These rankings indicate unusually high national volume in core cardiology office visits and imaging relative to peers.

    Several additional codes show notably elevated national volume consistent with a diagnostics-heavy practice: 93880 (305 claims, $45.4K; ranks #728 of 21316, 97th percentile) and 93015 (402 claims, $19.7K; ranks #199 of 7716, 97th percentile) are flagged as "notably above typical national volume," supporting a pattern of frequent vascular and stress-testing procedures. At the same time, key interpretation and monitoring services such as 93306 (rank #2020 of 24624, 92th percentile) and remote monitoring codes 99454 (761 claims, $30.4K; rank #450 of 5663, 92th percentile) and 99457 (485 claims, $18.4K; rank #965 of 6044, 84th percentile) sit in upper-but-typical ranges, suggesting steady utilization of RPM and echo interpretation rather than outsized dominance across all modalities.

    Certain supply and injection items appear as distinct operational signals: J1245 shows 1.7K claims and $5.1K revenue and ranks #3 of 318 providers nationally (99th percentile, labeled "extreme outlier"), while J0280 (362 claims, $1.4K; rank #9 of 775, 99th percentile) is likewise an extreme outlier. These high claim counts for diagnostic/contrast agents point to consistent throughput of imaging studies that require pharmacologic agents or injectables in the clinic or imaging suite.

    Tenure and footprint: the provider's NPI was enumerated on 2006-03-01 (~20 years ago), indicating long-standing enrollment in Medicare. For network and credentialing reviews this tenure supports stability in billing history, and the combination of long tenure plus concentrated Medicare-only revenue should be factored into contracting and utilization benchmarking.

    Implications for competitive and utilization benchmarking: because the practice posts extreme outlier national ranks on several high-revenue CPTs (notably 99214 and 78452) but reports no Medicaid activity, comparisons should emphasize national Medicare peer groups for imaging- and diagnostics-heavy cardiology practices rather than local Medicaid cohorts. Analysts seeking to evaluate growth opportunities or risk should focus on the practice's dominant diagnostic imaging lines, remote monitoring adoption, and high-volume E/M throughput as the main drivers of its Medicare revenue base.

    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.

    30 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…1,740$100$165.3K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…400$350$139.5K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…620$150$91.9K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…310$150$45.4K
    93229In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…60$670$40.8K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.760$40$30.4K
    93015The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…400$50$19.7K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…490$40$18.4K
    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…130$140$17.3K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…80$190$14.9K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933062170450$100$51.8K
    78452460120$250$40.3K
    9322993040$670$34.2K
    99214271,830150$80$25.5K
    99458920170$30$19.4K
    99457920170$40$18.1K
    93880128070$110$16.6K
    A9500120170$90$13.9K
    99454420180$40$12.7K
    992159957040$120$11K

    Showing 1–10 of 30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christiana Care Health Services, Inc.DEGeneral Acute Care Hospital$0$99.4M
    Christiana Care Health Services IncDEHospitalist Physician$0$13.6M
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Christiana Care Health Services IncDEObstetrics & Gynecology Physician$0$9.9M
    Christiana Care Health Services IncDENeonatal-Perinatal Medicine Physician$0$8.9M
    Christiana Care Health Services IncDEFamily Medicine Physician$0$5.6M
    Christiana Care Health Services IncDENeurology Physician$0$5.1M
    Christiana Care Health Services, IncDEFamily Medicine Physician$0$5.1M
    Christiana Care Health Services IncDEStudent Health Clinic/Center$0$3.9M
    Christiana Care Health Services, IncDEPsychiatry Physician$0$2.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Retinal Consultants LLCDEOphthalmology Physician$0$25.2M
    Columbus Medical Services, LLCDECase Management Agency$0$18.7M
    Caritas Home Health Services, IncDEHome Health Agency$0$11.2M
    Delaware Center For Maternal Fetal Medicine Of Christiana CareDEMaternal & Fetal Medicine Physician$0$9.8M
    Medical Oncology Hematology Consultants PADEHematology & Oncology Physician$0$7.7M
    Christiana Care Quality PartnersDEUrgent Care Clinic/Center$0$7M
    Jamal MislehDEHematology & Oncology Physician$6.8M$0
    Mid-atlantic Behavioral Health, LLCDEIntellectual & Developmental Disabilities Psychologist$0$6.5M
    First State Orthopaedics, PADEOrthopaedic Surgery Physician$0$6M
    Autism DelawareDEIntellectual & Developmental Disabilities Psychologist$0$5.8M

    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. Delaware Distribution
    Ashish Parikh — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware