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    Nandesh Patel — Billing Profile & Reimbursement Data

    NPI 1821292228 · Brandon, FL · Retina Specialist (Ophthalmology) Physician

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    Nandesh Patel is a retina specialist (ophthalmology) physician provider located in Brandon, Florida. This profile covers 19 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
    OrganizationNandesh Patel
    Address403 Vonderburg Dr
    CityBrandon
    StateFL
    ZIP33511
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 12, 2007

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$370

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,290$690$888.9K
    J2777Injection, faricimab‑svoa, 0.1 mg9,900$30$287.1K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…1,210$80$100.3K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.1,030$90$88.5K
    J2778Injection, ranibizumab, 0.1 mg390$180$71K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.2,040$30$57K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…880$60$55.5K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…540$30$14K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…140$100$14K
    67041In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…10$860$12K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017897250800$690$817.6K
    J277710617012,810$30$549.2K
    J277886110660$180$234.1K
    67028120300710$90$91.1K
    67042588020$1,180$36.5K
    920141342,180160$80$28.5K
    67041254020$1,160$25.4K
    9921416,53732,760140$90$25K
    92012861,170110$60$16.7K
    J799990190130$70$16.4K

    Showing 1–10 of 19

    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
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.70$10$370

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.118170200$10$10.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Selina LinFLOphthalmology Physician$4.1M$0
    Marguerite KohlheppFLRetina Specialist (Ophthalmology) Physician$2.7M$0
    Martin OrlickFLOphthalmology Physician$2.2M$0
    Jesse MccannFLRetina Specialist (Ophthalmology) Physician$2M$0
    Scott PautlerFLOphthalmology Physician$2M$0
    Karina FindlayFLRetina Specialist (Ophthalmology) Physician$1.6M$0
    Todd BergerFLOphthalmology Physician$1.6M$0
    Dan MontzkaFLRetina Specialist (Ophthalmology) Physician$1.4M$0
    Fayssal El-jabaliFLOphthalmology Physician$1.4M$0
    Scott FriedmanFLOphthalmology Physician$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family First Homecare, LLCFLNursing Care Agency$0$78.7M
    Preferred Touch Home Care, IncFLHome Health Agency$0$61.9M
    Galencare, Inc.FLGeneral Acute Care Hospital$0$34.7M
    Bio-medical Applications Of Florida, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$14.8M
    Bay Area Behavioral ServicesFLMental Health Counselor$0$11.3M
    Dva Healthcare Renal Care IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9.8M
    Exodus Women's Center, Inc.FLObstetrics & Gynecology Physician$0$9.1M
    Vipul JoshiFLSpecialist$5.6M$0
    Bay Area Surgicenter, LLCFLAmbulatory Surgical Clinic/Center$2.7M$893.7K
    Shalin ShahFLMedical Oncology Physician$1.8M$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. Florida Distribution
    Nandesh Patel — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Nandesh Patel — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida