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    OpenPayerNPI Medicare & MedicaidParth Patel
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    Parth Patel — Billing Profile & Reimbursement Data

    NPI 1669762365 · Spring Hill, FL · Surgery Physician

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    Parth Patel is a surgery physician provider located in Spring Hill, Florida. This profile covers 16 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
    OrganizationParth Patel
    Address5429 Commercial Way
    CitySpring Hill
    StateFL
    ZIP34606
    TaxonomySurgery Physician
    NPI EnumeratedApril 14, 2011

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

    Payer SourceTotal Paid
    Medicare$99.7K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43281The provider performs repair of a paraesophageal hernia, where the stomach slides up next to the esophagus, using laparoscopy. He may also perform fundoplasty, wrapping part of the stomach around the…20$1,280$20.4K
    43775Using laparoscopic technique, the provider reduces the size of the stomach by removing the bulk of the stomach in a vertical fashion. This procedure leaves a long, cylindrical stomach without the…10$750$9.7K
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.20$500$9K
    99204The 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…70$120$8.4K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.20$360$7.5K
    99222The 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…70$100$7.2K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…30$270$6.7K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…100$70$6.3K
    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…60$90$5.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…120$40$5.2K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921422,28332,760140$90$25K
    992327,91213,090120$60$17.5K
    43281133020$920$16.5K
    9921313,87030,01080$60$12K
    496508322020$420$9.5K
    475625818020$500$8.4K
    992045,38519,04040$110$7K
    365616425020$310$6.5K
    992222,0508,97030$100$6K
    4377511010$420$5.5K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Florida Health Sciences Center IncFLGeneral Acute Care Hospital$0$53.1M
    Sean CollinsDCRadiation Oncology Physician$444.1K$0
    Mohamed KhattabMNRadiation Oncology Physician$358.1K$0
    Aman ShahFLCardiovascular Disease Physician$314.2K$0
    Hyung SuhFLMedical Oncology Physician$231.1K$0
    Charles SandersFLNephrology Physician$204.6K$0
    Junaid AhmedFLNephrology Physician$169.8K$0
    Craig GrossmanPARadiation Oncology Physician$143.2K$0
    Douglas PolitzFLSurgery Physician$133.5K$0
    Michael BaehrFLFamily Medicine Physician$115.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tender Care Medical Services, Inc.FLMedically Fragile Infants and Children Day Care$0$12.1M
    Health Matters, Inc.FLAttendant Care Provider$0$9.6M
    Jonadab UzohoFLHospitalist Physician$740.6K$0
    Florida Springs Surgery Center LLCFLAmbulatory Surgical Clinic/Center$469K$0
    William YoungFLFamily Medicine Physician$103.1K$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. Florida Distribution
    Parth Patel — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida