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NPI 1811097595 · Springfield, IL · Pulmonary Disease Physician
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Samir Patel is a pulmonary disease physician provider located in Springfield, Illinois. This profile covers 22 Medicare and 5 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Samir Patel |
| Address | 1025 S 6th St |
| City | Springfield |
| State | IL |
| ZIP | 62703 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | September 23, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $182.5K |
| Medicaid | $57.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
22 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… | 460 | $90 | $43K |
| 95811 | During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more. | 110 | $230 | $25.1K |
| 99215 | The provider sees an established 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… | 150 | $130 | $19.9K |
| 95810 | Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,… | 90 | $220 | $19.3K |
| 94375 | The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to… | 680 | $30 | $18.5K |
| 94618 | The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise. | 420 | $30 | $10.6K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 30 | $280 | $7.6K |
| 94726 | The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may… | 150 | $40 | $6.1K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 150 | $40 | $6.1K |
| 99205 | The 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… | 30 | $170 | $5.2K |
Showing 1–10 of 22
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
22 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99233 | 4,499 | 5,990 | 100 | $100 | $18.7K |
| 99214 | 2,139 | 18,540 | 110 | $80 | $17.1K |
| 95811 | 18 | 180 | 40 | $210 | $10.7K |
| 99223 | 4,005 | 6,190 | 50 | $140 | $10.4K |
| 99215 | 868 | 6,240 | 40 | $120 | $10.1K |
| 95810 | 19 | 180 | 30 | $210 | $9.1K |
| 90677 | 927 | 2,540 | 20 | $270 | $8K |
| 90694 | 1,304 | 1,830 | 60 | $70 | $6.5K |
| 90480 | 1,497 | 1,570 | 130 | $40 | $5.9K |
| 99205 | 1,195 | 2,730 | 30 | $160 | $5.7K |
Showing 1–10 of 22
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 94375 | The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to… | 1,620 | $20 | $39K |
| 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… | 440 | $30 | $10.9K |
| 94618 | The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise. | 610 | $10 | $5.5K |
| 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… | 80 | $20 | $1.3K |
| 99215 | The provider sees an established 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… | 30 | $50 | $1.2K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 6,195 | 14,680 | 300 | $50 | $48.7K |
| 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… | 10,306 | 14,190 | 280 | $20 | $38.9K |
| 99215 | The provider sees an established 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… | 1,705 | 2,320 | 70 | $50 | $13.8K |
| 94375 | The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to… | 3 | 40 | 80 | $20 | $9.5K |
| 94618 | The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise. | 5 | 40 | 60 | $10 | $2.1K |
Other providers in the same ZIP code as Samir Patel, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Central Counties Health Centers, Inc. | IL | Federally Qualified Health Center (FQHC) | $0 | $32.5M |
| America Ambulance Service, Inc. | IL | Ambulance | $1M | $7.5M |
| Gateway Foundation, Inc. | IL | Substance Use Disorder Rehabilitation Clinic/Center | $0 | $8.4M |
| Sangamon Area Special Education Dist | IL | Local Education Agency (LEA) | $0 | $2.9M |
| Joseph Baima | IL | Diagnostic Radiology Physician | $217.4K | $708.3K |
| Edward Harter | IL | Diagnostic Radiology Physician | $242.8K | $666.8K |
| Robert Knudson | IL | Diagnostic Radiology Physician | $701.8K | $80.8K |
| Justin Brooks | IL | Diagnostic Radiology Physician | $99.1K | $666.3K |
| Bridget Kistner | IL | Nuclear Radiology Physician | $652.9K | $24.9K |
| Marc Stees | IL | MOHS-Micrographic Surgery Physician | $316K | $58.6K |
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