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    OpenPayerNPI Medicare & MedicaidAmar Patel
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    Amar Patel — Billing Profile & Reimbursement Data

    NPI 1700128139 · Phoenix, AZ · Urology Physician

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    Amar Patel is a urology physician provider located in Phoenix, Arizona. This profile covers 32 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
    OrganizationAmar Patel
    Address9225 N 3rd St Ste 302
    CityPhoenix
    StateAZ
    ZIP85020
    TaxonomyUrology Physician
    NPI EnumeratedMarch 24, 2013

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

    Payer SourceTotal Paid
    Medicare$293.1K
    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.

    32 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…560$90$48.3K
    52442In this add–on procedure, the provider uses a cystourethroscope to place an additional permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.110$420$45K
    J1952Leuprolide injectable, camcevi, 1 mg500$60$31.2K
    52317The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…50$400$19K
    52441Using a cystourethroscope, the provider places a single permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.30$610$18.8K
    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…150$110$16.7K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…100$170$15.7K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.40$420$14.7K
    0421TN/A20$570$11.9K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.100$110$10.7K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J1952610630$60$49K
    5244263060$350$29.2K
    52000115200110$160$22.7K
    52224253020$590$22.5K
    992141,20810,410120$80$20.6K
    5231721020$320$11.9K
    992152,2823,27050$120$11.9K
    5059086020$490$11.4K
    992231,1972,77050$130$11K
    52356147020$460$10.7K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sameer ChopraAZUrology Physician$147.1K$0
    Kavi RavalAZVascular & Interventional Radiology Physician$109.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    HonorhealthAZGeneral Acute Care Hospital$0$107.2M
    All Valley Home Health Care & Nursing IncAZHome Health Agency$0$55.7M
    Bowie Investment Group IncAZHome Health Agency$0$31.9M
    Gina PalaciosAZNurse Practitioner$27M$0
    Affiliated Hospitalists, PlcAZHospitalist Physician$0$21M
    Neighborhood Outreach Access To HealthAZFederally Qualified Health Center (FQHC)$0$19.6M
    Avista Senior Living Desert Springs, LLCAZAssisted Living Facility$0$17.6M
    Unomed LLCAZCritical Care Medicine (Internal Medicine) Physician$0$15.4M
    Bayada Home Health Care, Inc.AZHome Health Agency$0$10.7M
    Emcare - Pnx Emergency Physicians LLCAZEmergency Medicine Physician$0$9.6M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arizona Distribution
    Amar Patel — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona