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NPI 1851389852 · Franklin, VA · Orthopaedic Surgery Physician
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Manish Patel is a orthopaedic surgery physician provider located in Franklin, Virginia. This profile covers 21 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Manish Patel |
| Address | 210 Fairview Drive |
| City | Franklin |
| State | VA |
| ZIP | 23851 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | October 12, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $712.6K |
| Medicaid | $2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 490 | $990 | $488.1K |
| 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… | 650 | $100 | $62K |
| 20611 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe… | 620 | $80 | $48K |
| 99204 | The provider sees a new 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 provider… | 330 | $110 | $35.8K |
| 99203 | The provider sees a new 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 provider… | 320 | $80 | $24.6K |
| 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… | 270 | $70 | $17.5K |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 330 | $30 | $9.2K |
| 73564 | In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 270 | $30 | $7.8K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 100 | $40 | $4K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 3,360 | $1 | $3.4K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 1 | 310 | 40 | $1,150 | $64.4K |
| 99214 | 1,259 | 12,890 | 140 | $80 | $21K |
| 20611 | 10 | 230 | 60 | $70 | $10.5K |
| 99213 | 2,328 | 12,440 | 90 | $60 | $10K |
| 99204 | 36 | 6,850 | 40 | $110 | $5.9K |
| 99203 | 34 | 4,920 | 30 | $70 | $3.8K |
| 99212 | 444 | 2,830 | 30 | $40 | $2.3K |
| 20550 | 289 | 350 | 30 | $40 | $2.2K |
| 73564 | 52 | 720 | 50 | $30 | $2.2K |
| 73562 | 31 | 710 | 40 | $20 | $2K |
Showing 1–10 of 21
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99203 | The provider sees a new 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 provider… | 30 | $80 | $2K |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99203 | The provider sees a new 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 provider… | 795 | 1,000 | 100 | $70 | $81.1K |
Other providers in the same ZIP code as Manish Patel, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Alexandria Springfield Emergency Physicians PC | VA | Emergency Medicine Physician | $0 | $21.9M |
| Elite Home Health Care, LLC | VA | Home Health Agency | $0 | $16.7M |
| Bon Secours Mercy Health Franklin LLC | VA | General Acute Care Hospital | $0 | $8.7M |
| Levoc Family Services | VA | Community/Behavioral Health Agency | $0 | $8.6M |
| Uplifting Hands Home Health Care LLC | VA | Home Health Agency | $0 | $5.8M |
| Dana Stallings | VA | Family Nurse Practitioner | $106.3K | $1.7K |
| Ping Gao | VA | Physician Assistant | $77.3K | $0 |
| Candace Lankford | VA | Psychiatric/Mental Health Nurse Practitioner | $9.4K | $0 |
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