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

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

Amar Patel (NPI 1871882449)

Field	Value
Entity Type	Individual
Organization	Amar Patel
Address	1201 W Grande Blvd
City	Tyler
State	TX
ZIP	75703
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 4, 2011

Payer Source	Total Paid
Medicare	$3.8M
Medicaid	$0

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2778	Injection, ranibizumab, 0.1 mg	12,490	$180	$2.2M
J0178	Injection, aflibercept, 1 mg	540	$680	$368.3K
67028	The 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.	3,250	$90	$286.4K
92014	An 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…	2,380	$90	$216.4K
J3490	Unclassified drugs	90	$1,810	$170K
J2777	Injection, faricimab‑svoa, 0.1 mg	5,700	$30	$165.3K
92134	The 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.	3,050	$30	$91.6K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	570	$120	$68.4K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	350	$110	$38.3K
67041	In 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…	30	$880	$29.8K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Amar Patel — 5 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	117	210	610	$690	$694.9K
J2777	87	140	7,470	$30	$479.2K
J2778	3	80	630	$180	$345.3K
J2781	29	50	720	$120	$131.9K
67028	8	290	510	$90	$73K
J3490	78	350	60	$480	$54.4K
67042	77	90	20	$1,150	$41.3K
67041	6	30	20	$1,110	$25.5K
67110	1	10	40	$660	$23.9K
67040	2	20	20	$1,100	$23.1K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Louisiana State University School Of Medicine In New Orleans Faculty G	LA	Multi-Specialty Clinic/Center	$0	$67.9M
Lsuhn Billing LLC	LA	Multi-Specialty Clinic/Center	$0	$45.7M
Louisiana State University School Of Med In New Orleans Faculty Grou	LA	Pediatrics Physician	$0	$43M
Administrators Of The Tulane Educational Fund	LA	Specialist	$0	$24.6M
Acme Medical Supplies, Inc.	MD	Oxygen Equipment & Supplies (DME)	$0	$5.3M
James Keane	AR	Procedural Dermatology Physician	$4.9M	$0
Harshivinderjit Bains	TX	Ophthalmology Physician	$4.1M	$0
Balagopalan Nair	AR	Hematology & Oncology Physician	$4.1M	$0
Thomas Bochow	TX	Ophthalmology Physician	$3.6M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services, Inc.	TX	Home Health Agency	$0	$34.3M
Advanta Genetics LLC	TX	Clinical Medical Laboratory	$1.7M	$5.2M
Mark Mazzare	TX	Internal Medicine Physician	$3.5M	$0
Jennifer Holman	TX	Dermatology Physician	$1.1M	$0
Bradley Graham	TX	Dermatology Physician	$1M	$0
William Grabski	TX	Dermatology Physician	$971.2K	$0
Shanna Meads	TX	Dermatology Physician	$659.9K	$0
Oliver Street Dermatology Asc LLC	TX	Ambulatory Surgical Clinic/Center	$589.1K	$0
Glen Graves	TX	Rheumatology Physician	$578K	$0
Thomas Lambert	TX	Dermatology Physician	$473.3K	$0

Amar 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