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 Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia 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. Georgia (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.

Paragkumar Patel (NPI 1770159378)

Field	Value
Entity Type	Individual
Organization	Paragkumar Patel
Address	8294 Highway 92 Ste 200
City	Woodstock
State	GA
ZIP	30189
Taxonomy	Dentist
NPI Enumerated	June 3, 2021

Payer Source	Total Paid
Medicaid	$974.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	1,230	$150	$182.6K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	1,500	$80	$123.2K
D2392	Post 2 surface resin‑based composite	1,370	$70	$89.3K
D0120	Periodic oral evaluation - established patient	2,990	$30	$83.7K
D1120	Prophylaxis–child	1,860	$40	$76.1K
D1351	Sealant - per tooth	1,200	$50	$62.6K
D0150	Comprehensive oral evaluation – new or established patient	2,120	$20	$50.8K
D1208	Topical application of fluoride - excluding varnish	1,850	$30	$48K
D0330	N/A	1,890	$20	$41.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	900	$50	$41.3K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Paragkumar Patel — 2 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2392	Post 2 surface resin‑based composite	15	80	270	$90	$262.3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	5	20	220	$120	$236.9K
D2391	Resin‑based composite – one surface, posterior	14	60	190	$80	$186.8K
D1351	Sealant - per tooth	26	70	580	$30	$176.7K
D1120	Prophylaxis–child	37	140	620	$30	$173.7K
D2393	Resin-based composite, three surfaces, posterior	7	30	60	$120	$123.5K
D0120	Periodic oral evaluation - established patient	32	150	640	$20	$117.8K
D1208	Topical application of fluoride - excluding varnish	27	90	560	$20	$110.3K
D0274	N/A	30	110	340	$30	$96.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	36	70	240	$70	$85.9K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Raed Aldelayme	IN	Dentist	$0	$3.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pinnacle Orthopaedics Surgery Center Woodstock, LLC	GA	Ambulatory Surgical Clinic/Center	$1.5M	$0
Richard Arasi	GA	Specialist	$883.1K	$0
Vicky Bryan	GA	Nurse Practitioner	$834.6K	$0
Woodstock Endoscopy Center	GA	Endoscopy Clinic/Center	$595.7K	$0
Samson Pain Center PC	GA	Ambulatory Surgical Clinic/Center	$561.2K	$0
Jihyun Koo	GA	Specialist	$485.4K	$0
Richard Manrique	GA	General Practice Physician	$475.4K	$0
Apurva Shah	GA	Cardiovascular Disease Physician	$366.7K	$0
James Ellner	GA	Interventional Pain Medicine Physician	$349.1K	$0
Karthikeyan Ponnusamy	GA	Adult Reconstructive Orthopaedic Surgery Physician	$348K	$0

Paragkumar Patel — Billing Profile & Reimbursement Data

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Paragkumar Patel — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References