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    OpenPayerNPI Medicare & MedicaidAnilkumar Patel
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    Anilkumar Patel — Billing Profile & Reimbursement Data

    NPI 1902995319 · Visalia, CA · Internal Medicine Physician

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    Anilkumar Patel is a internal medicine physician provider located in Visalia, California. This profile covers 20 Medicare and 3 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)

    FieldValue
    Entity TypeIndividual
    OrganizationAnilkumar Patel
    Address4046 S Demaree St
    CityVisalia
    StateCA
    ZIP93277
    TaxonomyInternal Medicine Physician
    NPI EnumeratedOctober 12, 2006

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

    Payer SourceTotal Paid
    Medicare$316.9K
    Medicaid$720

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,450$60$142K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit420$130$54.8K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…1,280$40$48.7K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…440$60$24.4K
    G0008Administration of influenza virus vaccine310$30$9.6K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…60$160$9.4K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.310$20$6.2K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment20$170$3.5K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit20$170$3.5K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…30$90$2.8K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    994901111,060210$50$25.8K
    9921429,12837,970120$90$23.2K
    171101,5141,840110$90$17K
    9921313434,66080$70$13.2K
    G04391217,80060$130$11.9K
    994971242,56050$70$8K
    9920414,87219,36040$120$7.2K
    G04385881,40020$160$5K
    692101,0311,37030$30$4K
    994953790020$160$3.9K

    Showing 1–10 of 20

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…180$1$540
    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…1,120$0$0
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications50$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…6,37314,520760$10$122.8K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…377640320$20$32.8K
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications690920220$1$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel WatrousCARheumatology Physician$4M$5M
    Dilsher DhootCARetina Specialist (Ophthalmology) Physician$5.4M$0
    Daniel LearnedCARetina Specialist (Ophthalmology) Physician$5.1M$0
    Nallathamby ThayapranCAInterventional Cardiology Physician$3.2M$0
    Srikanth NaramalaCARheumatology Physician$2.8M$0
    Ian DuncanCAOrthopaedic Surgery Physician$2.2M$0
    Manisha MittalCARheumatology Physician$2M$0
    Robert HavardCAMedical Oncology Physician$1.9M$0
    Aditya VermaCACardiovascular Disease Physician$1.8M$0
    Richard DemeraCAAllergy & Immunology Physician$1.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of TulareCAState or Local Public Health Clinic/Center$0$273.8M
    Family Healthcare NetworkCAFederally Qualified Health Center (FQHC)$0$31M
    Kusai AzizCANuclear Cardiology Physician$2.1M$648.9K
    Noble Surgery CenterCAAmbulatory Surgical Clinic/Center$1.2M$270.3K
    Phillip MyersCAPhysician Assistant$1.4M$0
    Kazi RahmanCAFoot & Ankle Surgery Podiatrist$1.1M$0
    Tom YangCANephrology Physician$877.6K$0
    Abdulrahman HamdiCAVascular Surgery Physician$822.3K$0
    Joshua DayCAPhysician Assistant$764.4K$0
    Sequoia Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$708.9K$0

    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. California Distribution
    Anilkumar Patel — 5 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Anilkumar Patel — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California