Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidPratit Patel
    Ask Trek AI about this page

    Pratit Patel — Billing Profile & Reimbursement Data

    NPI 1881037620 · Neptune, NJ · Vascular Neurology Physician

    Customize your policy alerts

    Sign up for Pratit Patel — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Pratit Patel is a vascular neurology physician provider located in Neptune, New Jersey. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPratit Patel
    Address1945 State Route 33
    CityNeptune
    StateNJ
    ZIP07753
    TaxonomyVascular Neurology Physician
    NPI EnumeratedApril 11, 2013

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

    Payer SourceTotal Paid
    Medicare$47.6K
    Medicaid$0

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    61624The provider performs a transcatheter permanent occlusion or embolization procedure within the central nervous system, which includes the brain (intracranial) or spinal cord. Using imaging guidance,…10$950$12.4K
    61645Using fluoroscopy, live X–rays displayed on a video monitor, the provider inserts a catheter percutaneously (through a small incision in the skin) into an intracranial artery, a branch of the carotid…20$710$12K
    36223In this procedure, the provider performs imaging supervision and interpretation for angiography performed by inserting a catheter through a distal artery into the thoracic aorta and farther into the…20$230$4.1K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$70$2.9K
    99221The 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$70$2.8K
    99213The 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…40$70$2.7K
    99204The 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…20$130$2.2K
    75898As a follow–up study, the provider performs vessel imaging called angiography through the catheter that is already present in the vessel because of previous therapy, embolization, or infusion, other…20$80$1.8K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$100$1.8K
    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…20$90$1.7K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921412,71513,640130$90$23.6K
    992324,8316,220120$70$18.4K
    6162491020$940$16.9K
    9921310,65814,090100$70$13.1K
    6164521010$690$11K
    992223,3484,37040$110$6.7K
    992045,5997,16040$130$6.5K
    3622331020$240$4.6K
    992311,2991,61040$40$3.8K
    3622781020$130$2.5K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cmc Department Of Medicine Group PANJSpecialist$0$77.4M
    Reading HospitalPAGeneral Acute Care Hospital$0$58.4M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Cooper Surgical Associates, PANJSurgery Physician$0$34.7M
    Capital Health Medical GroupNJInternal Medicine Physician$0$19.3M
    Tower Health Medical GroupPAEmergency Medicine Physician$0$8M
    Joseph ShanahanNCRheumatology Physician$1.9M$0
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Hadia AtaNJAnatomic Pathology & Clinical Pathology Physician$1.8M$0
    Mutahir AbidiNJRheumatology Physician$1.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hmh Hospitals CorporationNJGeneral Acute Care Hospital$0$128.2M
    Children's Center Programs, LLCNJDevelopmentally Disabled Services Day Training Agency$0$44.6M
    Nj Certified Dermatology PCNJDermatology Physician$0$14.9M
    Coastal Ear Nose And Throat, LLCNJOtolaryngology Physician$0$13.3M
    Preferred Home Healthcare & Nursing Services, Inc.NJHome Health Agency$0$13M
    Jsas Healthcare, Inc.NJMethadone Clinic$480K$12.3M
    Neptune Adult Day Health Center, Inc.NJAdult Day Care Clinic/Center$0$12.5M
    Meridian Hospitals CorporationNJGeneral Acute Care Hospital$0$11.8M
    Morning Glory Behavioral Health Partial Care Program LLCNJAdult Mental Health Clinic/Center$0$10M
    Alternative Counseling Method LLCNJMental Health Clinic/Center (Including Community Mental Health Center)$0$9.9M

    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 Jersey Distribution
    Pratit Patel — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey