Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Arizona for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arizona only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Arizona (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Nilamkumar Patel (NPI 1710178207)

Field	Value
Entity Type	Individual
Organization	Nilamkumar Patel
Address	2503 S Avenue A Ste 2
City	Yuma
State	AZ
ZIP	85364
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	August 8, 2007

Payer Source	Total Paid
Medicare	$31.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	220	$90	$19.9K
99204	The 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…	60	$100	$6.1K
11755	This procedural code is used when the physician biopsies the nail plate, bed, hyponychium, proximal nail folds, or lateral nail folds. Each one is a separate procedure.	50	$70	$3.2K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	40	$30	$1.1K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	20	$40	$840

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Nilamkumar Patel — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,348	10,410	120	$80	$20.6K
17110	482	510	120	$70	$13.1K
11721	268	300	230	$30	$10.8K
99204	1,972	5,790	40	$110	$6.7K
11755	10	40	30	$70	$3.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Terry Stevenson	AZ	Adult Medicine Physician	$2.6M	$0
John Smock	AZ	Physician Assistant	$2M	$0
Brenda Ellingson	AZ	Family Nurse Practitioner	$1.9M	$0
Elena Dobson	CA	Psychiatric/Mental Health Nurse Practitioner	$896.8K	$0
Christian Cyr	AZ	Acute Care Nurse Practitioner	$705.3K	$0
Irfan Fazil	AZ	Nephrology Physician	$617.8K	$330
Aasim Kamal	AZ	Ophthalmology Physician	$577.1K	$0
Lillian Muzyka	AZ	Family Medicine Physician	$532.8K	$0
Todd Runyan	AZ	Orthopaedic Surgery Physician	$103.3K	$0
Stamatia Gockel	AZ	Family Medicine Physician	$91K	$0

Nilamkumar Patel — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References