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    OpenPayerNPI Medicare & MedicaidPrakash Patel
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    Prakash Patel — Billing Profile & Reimbursement Data

    NPI 1699713719 · Bronx, NY · Anesthesiology Physician

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    Prakash Patel is a anesthesiology physician provider located in Bronx, New York. This profile covers 7 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPrakash Patel
    Address2425 Eastchester Rd
    CityBronx
    StateNY
    ZIP10469
    TaxonomyAnesthesiology Physician
    NPI EnumeratedJune 2, 2006

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

    Payer SourceTotal Paid
    Medicare$66.1K
    Medicaid$8.2K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    00770The provider performs anesthesia services for a patient undergoing a procedure on the major abdominal blood vessels such as embolectomy, thrombectomy, reconstruction, repair of aneurysm, bypass…60$470$28.4K
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…140$110$14.8K
    01844The provider performs anesthesia services for a patient undergoing a vascular shunt procedure, or shunt revision of any type, such as for dialysis.30$190$6.4K
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…60$110$6.3K
    00813The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…40$130$4.6K
    00812The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…40$100$3.6K
    01260The provider performs anesthesia services for a patient undergoing a procedure of the veins of the upper leg, including an exploration.20$130$2.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0077011020$430$12.5K
    01844126020$180$6K
    008111001,71030$90$4.3K
    007313032,24020$100$3.5K
    0081228993020$100$3.5K
    0081318397020$110$3K
    0126011020$130$2.1K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…70$120$8.2K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…107170120$110$79.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stacey LongoNJClinical Pathology/Laboratory Medicine Physician$2M$410
    Jasminka BalderacchiNYAnatomic Pathology & Clinical Pathology Physician$1.9M$0
    Karabi SinhaNJAnatomic Pathology & Clinical Pathology Physician$1.9M$0
    Hadia AtaNJAnatomic Pathology & Clinical Pathology Physician$1.8M$0
    Yatinder BainsNJGastroenterology Physician$194.2K$435.4K
    Rongshan LiPAAnatomic Pathology & Clinical Pathology Physician$568.8K$18.7K
    Aqeel AhmedNYAnatomic Pathology & Clinical Pathology Physician$297.4K$0
    Vishal JainNJGastroenterology Physician$214.8K$64.5K
    Vinay YalamanchiNJGastroenterology Physician$160K$104.2K
    Adam PalanceNJSpecialist$237.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vertex LLCNYSubstance Use Disorder Rehabilitation Clinic/Center$0$24.6M
    Important Steps, Inc.NYEarly Intervention Provider Agency$0$22.2M
    Ambulatory Surgery Center Of Greater New York, LLCNYAmbulatory Surgical Clinic/Center$966.7K$5.9M
    Donald WallersonNYCardiovascular Disease Physician$495.3K$3.8M
    Fabio VolterraNYHematology & Oncology Physician$795.3K$256.7K
    Howard HochsterNYInternal Medicine Physician$380.6K$137.4K
    Sanjiv BansalNYSpecialist$312.7K$640

    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. New York Distribution
    Prakash Patel — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Prakash Patel — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York