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    OpenPayerNPI Medicare & MedicaidDipen Patel
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    Dipen Patel — Billing Profile & Reimbursement Data

    NPI 1831552124 · Smithtown, NY · Hematology & Oncology Physician

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    Dipen Patel is a hematology & oncology physician provider located in Smithtown, New York. This profile covers 86 Medicare and 8 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
    OrganizationDipen Patel
    Address48 Route 25a Ste 209
    CitySmithtown
    StateNY
    ZIP11787
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 4, 2016

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

    Payer SourceTotal Paid
    Medicare$931.1K
    Medicaid$14.4K

    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.

    86 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg4,800$40$206.4K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…1,430$110$152.6K
    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…810$110$91.3K
    88185The lab analyst performs the technical component of a flow cytometry procedure using cell surface, cytoplasmic, or nuclear markers to characterize cells and aid clinicians in diagnosing patients with…3,620$20$83.3K
    J0897Injection, denosumab, 1 mg4,080$20$77.5K
    J1439Injection, ferric carboxymaltose, 1 mg31,500$1$31.5K
    99215The 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…190$160$31.1K
    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…140$200$28.2K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)7,200$1$14.4K
    96413Chemotherapy 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…110$130$14.1K

    Showing 1–10 of 86

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 86 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    86 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927159609,900$40$505.5K
    J08971754902,820$20$84.4K
    88185301001,210$20$74.9K
    J1439539039,750$1$42K
    J0881708013,100$1$41K
    994905661,210150$50$21K
    992141,20530,45090$100$19K
    96413195380110$110$18.1K
    99233288,64080$100$15.8K
    9942694100100$50$14.2K

    Showing 1–10 of 86

    • More pages

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…300$40$11.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…330$10$3K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…10$20$210
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.180$0$0
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.110$0$0
    83615The lab analyst measures the lactate dehydrogenase, typically in a serum sample. Lactate dehydrogenase is found in many body tissues, especially in the liver, kidney, and heart, and also in red blood…40$0$0
    84550The lab analyst performs a test to measure the amount of uric acid in patient blood.40$0$0
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…230$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.4415901,160$20$277.2K
    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…7,33816,550220$90$186.8K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…577850960$1$36.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.3,1875,090450$10$35.9K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…198210440$10$35.4K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…6262,620100$50$25.1K
    83615The lab analyst measures the lactate dehydrogenase, typically in a serum sample. Lactate dehydrogenase is found in many body tissues, especially in the liver, kidney, and heart, and also in red blood…192230640$1$11.3K
    84550The lab analyst performs a test to measure the amount of uric acid in patient blood.217260410$1$11K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Shore Hematology Oncology Associates PCNYSpecialist$0$61.9M
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Tony AbrahamNYNuclear Radiology Physician$7.6M$442.6K
    Riem BadrNYHematology (Pathology) Physician$8M$2.2K
    Alexander ZuhoskiNYHematology & Oncology Physician$4.4M$45.7K
    Pejman DalaieNYDiagnostic Radiology Physician$3.6M$172.2K
    Esther CoronelNYDiagnostic Radiology Physician$3.3M$162.2K
    Roy ChenNYHematology & Oncology Physician$3.3M$104.3K
    Dimitri KessarisNYUrology Physician$275.7K$2.8M
    David ChuNYHematology & Oncology Physician$3.1M$44.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Care Companions, Inc.NYHome Health Agency$0$100M
    Planned Parenthood Hudson Peconic Inc.NYAmbulatory Family Planning Facility$0$25.1M
    Timothy GrothNYPain Medicine (Anesthesiology) Physician$2.4M$357.5K
    Luna Healing Solution IncNYDiagnostic Ultrasound Physician$1.1M$1.3M
    Noshir DacostaNYHematology & Oncology Physician$2.3M$12.6K
    Mcclain Laboratories LLCNYAnatomic Pathology & Clinical Pathology Physician$1.7M$385.6K
    Donna SerureNYDermatology Physician$1.8M$21.5K
    Hong XuNYRheumatology Physician$1.7M$0
    Armen OvsepianNYSpecialist$1.6M$3.9K
    Luiziana MarinescuNYRheumatology Physician$1.6M$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. New York Distribution
    Dipen Patel — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Dipen Patel — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York