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

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

Priti Patel (NPI 1801515606)

Field	Value
Entity Type	Individual
Organization	Priti Patel
Address	312 S Henderson Rd
City	King Of Prussia
State	PA
ZIP	19406
Taxonomy	Family Nurse Practitioner
NPI Enumerated	August 24, 2022

Payer Source	Total Paid
Medicare	$900.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3245	Injection, tildrakizumab, 1 mg	4,100	$110	$455.1K
J0517	Injection, benralizumab, 1 mg	1,230	$130	$163.6K
J2356	Injection, tezepelumab-ekko, 1 mg	8,400	$20	$126K
J2182	Injection, mepolizumab, 1 mg	3,300	$20	$79.2K
J1306	Injection, inclisiran, 1 mg	7,380	$10	$66.5K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	70	$90	$6.1K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	60	$50	$2.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	250	$10	$2.5K
99213	The 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…	20	$40	$820
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	20	$20	$440

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Priti Patel — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3245	6	10	3,750	$110	$670.1K
J0517	11	10	1,560	$130	$276.6K
J2182	7	10	4,550	$20	$172.9K
J2356	3	10	7,770	$10	$166.7K
J1306	10	20	8,800	$10	$155K
96413	201	300	140	$100	$19.8K
99213	19,357	22,370	70	$60	$7.7K
96365	189	310	70	$50	$5.3K
96367	114	120	160	$20	$5K
96415	161	180	90	$20	$2.3K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Danielle Young	PA	Family Nurse Practitioner	$3.7M	$0
Stacey Godman	MA	Nurse Practitioner	$1.7M	$0
Caitlin Trainor	PA	Family Nurse Practitioner	$1.3M	$0
Danielle Boyle	PA	Family Nurse Practitioner	$411.3K	$0
Jeanne-marie Firpo	NY	Nurse Practitioner	$210.9K	$0
Prasant Pandey	PA	Cardiovascular Disease Physician	$122.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Promptcare Companies, Inc.	PA	Oxygen Equipment & Supplies (DME)	$0	$78.5M
Behavior Interventions, Inc	PA	Behavior Analyst	$0	$73.7M
Children's Hospital Of Philadelphia	PA	Durable Medical Equipment & Medical Supplies	$0	$27.6M
Cnnh Therapy LLC	PA	Behavior Analyst	$0	$26.2M
Children's Hospital Of Philadelphia	PA	Home Infusion Agency	$0	$23.1M
Helping Hands Family Pennsylvania LLC	PA	Community/Behavioral Health Agency	$0	$15.8M
Trustees Of The University Of Pennsylvania	PA	Home Infusion Agency	$159.1K	$7.2M
Ambulnz PA, LLC	PA	Ambulance	$3.3M	$3.8M
Quality Life Healthcare LLC	PA	Nursing Care Agency	$0	$6.3M
Wal-mart Stores, Inc.	PA	Optician	$0	$5.7M

Priti 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

Nearby Providers

Frequently Asked Questions

References