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    OpenPayerNPI Medicare & MedicaidMiten Patel
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    Miten Patel — Billing Profile & Reimbursement Data

    NPI 1891878146 · Jacksonville, FL · Hematology & Oncology Physician

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    Miten Patel is a hematology & oncology physician provider located in Jacksonville, Florida. This profile covers 51 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMiten Patel
    Address7015 Ac Skinner Parkway
    CityJacksonville
    StateFL
    ZIP32256
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedOctober 23, 2006

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

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$0

    Key Findings

    This provider reports $1.4M in total Medicare revenue and has no Medicaid billing on file (none below), making its publicly visible payer mix effectively single-payer Medicare. The absence of Medicaid activity indicates limited exposure to state Medicaid populations and reimbursement structures for this NPI.

    Revenue is highly concentrated in a small set of chemotherapy and imaging codes: the precomputed top three Medicare codes account for 74.0% of this provider's total Medicare revenue, with J9271 generating $739.6K (52.3% of Medicare revenue), 78815 generating $220.7K (15.6%), and A9552 generating $87.4K (6.2%). This concentration suggests that a few high-cost infusion and imaging services dominate the practice's Medicare income.

    The code mix and taxonomy (Hematology & Oncology Physician) point to an infusion-based oncology practice: J9271 (pembrolizumab) is the single largest revenue driver, supported by chemotherapy administration codes such as 96413 and 96365, and oncology-focused imaging codes 78815 and 78816. The presence of M0010 (EOM monthly enhanced oncology services) and anemia-management codes like Q5106 further indicate an integrated oncology care model that combines systemic therapy, supportive-care drugs, and coordinated monthly oncology services.

    On competitive standing for high-revenue items, this provider is a meaningful but not dominant national participant: J9271 ranks #541 of 1841 providers nationally (70th percentile; typical, unremarkable volume) so pembrolizumab billing is substantial for the practice but not unusually concentrated versus peers. Imaging-related codes show stronger national placement: 78815 ranks #1019 of 6566 (84th percentile; typical, unremarkable volume) and A9552 ranks #276 of 2411 (89th percentile; typical, unremarkable volume), indicating above-median use of PET/CT and FDG imaging relative to national peers.

    Several ancillary and office-based service codes are at high national percentiles, signaling a busy outpatient footprint: 99213 is at the 96th percentile (notably above typical national volume), 99214 is at the 86th percentile (typical, unremarkable volume), 36415 is at the 98th percentile (typical, unremarkable volume), and 85025 is at the 96th percentile (typical, unremarkable volume). These patterns suggest substantial in-office visits, routine phlebotomy, and lab testing supporting active treatment and follow-up care.

    The provider bills for supportive and specialty oncology agents and biosimilars, with Q5106 (epoetin alfa-epbx) producing $43.1K (3.0% of Medicare revenue) and J0897 (denosumab) producing $27.4K (1.9%). Q5106 ranks #65 of 695 (90th percentile; typical, unremarkable volume), indicating notable relative use of erythropoiesis-stimulating biosimilars for anemia management, while J0897 ranks lower nationally (#7603 of 10057; 23rd percentile; typical, unremarkable volume), suggesting more modest use of bone-targeted therapy.

    This NPI shows longevity: the NPI was enumerated on 2006-10-23 (~20 years ago), which is consistent with an established oncology practice and may reflect stable referral relationships and program enrollment such as the Enhancing Oncology Model (M0010 billing). Longevity combined with the concentrated revenue mix may indicate a mature infusion-focused oncology operation in Jacksonville, FL.

    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.

    51 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg17,200$40$739.6K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…200$1,090$220.7K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries220$400$87.4K
    Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units7,190$10$43.1K
    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…420$90$39.2K
    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…620$60$38.5K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.220$160$35.1K
    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…350$100$34.3K
    78816The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…30$1,090$29.4K
    J0897Injection, denosumab, 1 mg1,440$20$27.4K

    Showing 1–10 of 51

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 51 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    51 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271121016,100$40$802.7K
    78815137070$740$121.8K
    J089711,0603,290$20$106.5K
    A9552125070$390$56.4K
    78816112040$660$42.3K
    Q510611103,030$10$26.7K
    964131730200$100$26.1K
    99214232,760140$90$25K
    99232113,090120$60$17.5K
    7417711,480100$100$14.4K

    Showing 1–10 of 51

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cancer Specialists, LLCFLHematology & Oncology Physician$0$7.5M
    Daniel KobrinskiFLHematology & Oncology Physician$2M$0
    Ilicia ShugarmanFLHematology & Oncology Physician$1.6M$0
    Marc WarmuthFLHematology & Oncology Physician$1.6M$0
    Gaurav TrikhaFLHematology & Oncology Physician$1.1M$0
    Yousif AbubakrFLHematology & Oncology Physician$838.7K$0
    Richard CassidyFLRadiation Oncology Physician$813.6K$0
    Mehdi MoeziFLHematology & Oncology Physician$791.7K$0
    Steven SiegelFLHematology & Oncology Physician$737.1K$0
    Waseet VanceFLRadiation Oncology Physician$688.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ambassador Health Services, IncFLHome Health Agency$0$42.6M
    Maxim Healthcare Services, Inc.FLHome Health Agency$0$27.9M
    Cr & Ra Investments LLCFLHome Health Agency$0$24.4M
    Pediatric Services Of America, LLCFLNursing Care Agency$0$18.6M
    Fletcher's Medical Supplies, Inc.FLDurable Medical Equipment & Medical Supplies$0$17.5M
    Rmed LLCFLInternal Medicine Physician$0$11.9M
    Lakeside Dental Surgery Center LLCFLAmbulatory Surgical Clinic/Center$0$7.5M
    John SullivanFLOphthalmology Physician$3.8M$0
    The Medical Imaging Partnership-jax1 LLCFLRadiology Clinic/Center$2.5M$3K
    Jacksonville Endoscopy Centers LLCFLAmbulatory Surgical Clinic/Center$2.3M$107.4K

    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. Florida Distribution
    Miten Patel — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida