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    OpenPayerNPI Medicare & MedicaidPulin Patel
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    Pulin Patel — Billing Profile & Reimbursement Data

    NPI 1710950951 · Mount Clemens, MI · Allergy & Immunology Physician

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    Pulin Patel is a allergy & immunology physician provider located in Mount Clemens, Michigan. This profile covers 13 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
    OrganizationPulin Patel
    Address1030 Harrington St Ste 301
    CityMount Clemens
    StateMI
    ZIP48043
    TaxonomyAllergy & Immunology Physician
    NPI EnumeratedFebruary 8, 2006

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

    Payer SourceTotal Paid
    Medicare$198.6K
    Medicaid$2.4K

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.4,950$10$59.4K
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.2,670$10$24K
    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…290$70$19.6K
    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…180$90$16.1K
    99205The provider sees a new 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 provider…100$160$15.7K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.260$60$14.7K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.4,410$1$13.2K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…450$30$13K
    95024The provider introduces allergenic extracts into the skin to determine if the patient has an immediate allergic response, interprets the results and writes a report specifying the number of tests.1,510$10$10.5K
    95012The provider performs a test involving nitric oxide exhaled by a patient into a nitric oxide monitoring system. The test helps with checking the level of inflammation in the airways of a patient who…400$10$5.6K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992334,1214,22070$90$12.3K
    992143,94815,47080$80$11.4K
    95165490530$10$10.9K
    992232,5954,88040$130$8.3K
    992131,32114,81060$60$6.6K
    9640148090$50$5.8K
    950044901,050$1$5K
    99205341,68020$150$4.3K
    95044510980$1$4.1K
    951173110280$10$3.7K

    Showing 1–10 of 13

    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
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.10$180$2.4K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Michigan median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.5050450$170$240.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Allergy And Asthma Physicians Of Commerce TownshipMIAllergy & Immunology Physician$0$5.4M
    Ahmed SufyanMIOtolaryngology/Facial Plastic Surgery Physician$93.2K$0
    Mark LebedaMIOtolaryngology Physician$62.2K$0
    Brian PeshekMIOtolaryngology Physician$13K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mclaren MacombMIGeneral Acute Care Hospital$0$56.7M
    Macomb Residential Opportunities, Inc.MIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$39.8M
    Svs Vision IncMIOptometrist$0$30.9M
    Life Skills Centers, Inc.MIDevelopmentally Disabled Services Day Training Agency$0$28M
    Mclaren MacombMIInternal Medicine Physician$0$19.2M
    Macomb Emergency Physicians PLLCMIEmergency Medicine Physician$0$8.5M
    County Of MacombMIPublic Health or Welfare Agency$207.7K$1.8M
    Thomas GiancarloMINeurology Physician$458.1K$0
    Henry Ford Macomb Ancillary ServicesMIClinical Medical Laboratory$147.1K$66K
    Victor HunyadiMICardiovascular Disease Physician$172.3K$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. Michigan Distribution
    Pulin Patel — 8 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan
    Medicaid Revenue by Year vs. Michigan Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Pulin Patel — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan