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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAmit Patel
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    Amit Patel — Billing Profile & Reimbursement Data

    NPI 1699944314 · Newport News, VA · Pulmonary Disease Physician

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    Amit Patel is a pulmonary disease physician provider located in Newport News, Virginia. This profile covers 18 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
    OrganizationAmit Patel
    Address11848 Rock Landing Dr Ste 402
    CityNewport News
    StateVA
    ZIP23606
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedFebruary 27, 2008

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

    Payer SourceTotal Paid
    Medicare$180.3K
    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.

    18 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…550$90$50.6K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…210$160$33.6K
    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…270$60$16.9K
    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…430$40$16.7K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.410$40$16.4K
    95806A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.220$60$13.8K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…110$90$10.2K
    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$8.2K
    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…20$140$3.4K
    99458The 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.…110$30$3.3K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,67512,890140$80$21K
    9581010812050$290$16.2K
    992331,2993,29080$90$13.7K
    9945456210220$40$13.6K
    992911061,95050$170$12.2K
    9945742220220$40$10.3K
    992132,28112,44090$60$10K
    992152,7304,03040$120$9.5K
    992233,5583,66040$130$9.2K
    95800445030$100$6.2K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Childrens Specialty Group PLLCVAPediatrics Physician$0$87.7M
    Maryview Hospital LLCVAGeneral Acute Care Hospital$0$74.9M
    Mary Immaculate Hospital LLCVAGeneral Acute Care Hospital$0$24.5M
    Tidewater Physicians Multispecialty Group PCVAFamily Medicine Physician$0$5.9M
    Sowjanya NagabhiravaVAMedical Oncology Physician$1.6M$0
    Manan MehtaVAHematology & Oncology Physician$1.5M$0
    Kristi MizelleVARheumatology Physician$1.5M$0
    Ivan Marchena- MendezPARheumatology Physician$1M$0
    Michael GenVAInterventional Cardiology Physician$705.1K$0
    Audra AlbertVAFamily Nurse Practitioner$639.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    National Counseling Group, IncVAMental Health Counselor$0$25.9M
    Maxim Healthcare Services, Inc.VAHome Health Agency$0$20M
    Care Advantage, IncVAHome Health Agency$0$17.4M
    Behavior Health & Wellness Center, LLCVABehavior Analyst$0$15.8M
    Personal Touch Home Care Of Va, IncVAHome Health Agency$0$14.6M
    Odyssey Community Services IncVACommunity/Behavioral Health Agency$0$14.4M
    Hope In-home Care LLCVAHome Health Agency$0$10.2M
    1life1love, Inc.VACommunity/Behavioral Health Agency$0$9.2M
    Beyond Disabilities, LLCVADevelopmentally Disabled Services Day Training Agency$0$7.9M
    Childrens Medical Group IncVAPediatrics Physician$0$7.1M

    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. Virginia Distribution
    Amit Patel — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia