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

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

Rajiv Patel (NPI 1841484748)

Field	Value
Entity Type	Individual
Organization	Rajiv Patel
Address	919 12th Pl Ste 12
City	Prescott
State	AZ
ZIP	86305
Taxonomy	Critical Care Medicine (Internal Medicine) Physician
NPI Enumerated	September 4, 2007

Payer Source	Total Paid
Medicare	$5.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	40	$60	$2.4K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	50	$40	$2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	20	$60	$930

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Rajiv Patel — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99238	155	580	20	$60	$2.3K
99231	80	750	30	$40	$2K
99221	8	320	20	$60	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rehoboth Mckinley Christian Health Care Services, Inc.	NM	Critical Access Hospital	$0	$31.9M
Rehoboth Mckinley Christian Health Care Services, Inc	NM	Rural Health Clinic/Center	$0	$9.9M
West Tennessee Healthcare Hospitalists Inc	TN	Hospitalist Physician	$0	$4.3M
Lawrence Rudnick	IL	Pulmonary Disease Physician	$310.4K	$827.7K
Mukesh Ahluwalia	AZ	Pulmonary Disease Physician	$324.3K	$585.3K
David Nye	AZ	Vascular Surgery Physician	$905.8K	$0
Anil Kachru	IL	Pulmonary Disease Physician	$212.8K	$452.5K
Craig Rundbaken	AZ	Pulmonary Disease Physician	$503.8K	$80
James Sluss	VA	Diagnostic Radiology Physician	$364K	$90K
Khawaja Muddassir	TN	Pulmonary Disease Physician	$174.4K	$210K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Life Line Ambulance Service Inc	AZ	Land Ambulance	$2.1M	$33.9M
West Yavapai Guidance Clinic, Inc.	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.6M
West Yavapai Guidance Clinic	AZ	Substance Abuse Rehabilitation Facility	$0	$6.6M
Kenneth Lawlor	AZ	Rheumatology Physician	$2.3M	$0
Donn Davis	AZ	Radiation Oncology Physician	$1.2M	$0
Roscoe Chan	AZ	Radiation Oncology Physician	$738.6K	$0
Keith Mackenzie	AZ	Procedural Dermatology Physician	$693.8K	$0
Richard Cirelli	AZ	Dermatology Physician	$559.8K	$0
Robert Wolfe	AZ	Family Nurse Practitioner	$552.9K	$0
Kimberly Stover	AZ	Nurse Practitioner	$518K	$0

Rajiv Patel — Billing Profile & Reimbursement Data

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Rajiv 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