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

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

Shivaniben Patel (NPI 1912641671)

Field	Value
Entity Type	Individual
Organization	Shivaniben Patel
Address	7157 Curtiss Ave
City	Sarasota
State	FL
ZIP	34231
Taxonomy	Physical Therapist
NPI Enumerated	April 27, 2022

Payer Source	Total Paid
Medicare	$195.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	4,000	$20	$75.9K
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	3,440	$20	$65.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	1,180	$20	$28.2K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	140	$70	$10.4K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	450	$20	$7.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	390	$20	$6.7K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	20	$70	$1.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Shivaniben Patel — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	2,608	3,870	690	$20	$21.6K
97113	3	70	490	$20	$20.2K
97530	525	2,780	370	$20	$18.9K
97112	31	2,710	340	$20	$13.1K
97140	1,107	3,020	290	$20	$9.1K
97162	94	1,660	30	$70	$3.7K
97163	148	300	20	$70	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Douglas Constant	FL	Interventional Pain Medicine Physician	$409.4K	$0
Alan Valadie	FL	Orthopaedic Surgery Physician	$392.2K	$0
Justin Sirianni	FL	Anesthesiology Physician	$375.3K	$0
Eric Sundberg	FL	Orthopaedic Surgery of the Spine Physician	$359.8K	$0
Gennady Gekht	FL	Interventional Pain Medicine Physician	$353K	$0
John Harkess	FL	Orthopaedic Surgery Physician	$338K	$0
Robert Otte	FL	Orthopaedic Surgery Physician	$324.1K	$0
Avinash Kumar	FL	Orthopaedic Surgery Physician	$307.1K	$0
Randall Warren	FL	Pain Medicine (Anesthesiology) Physician	$274.5K	$0
Melissa Boyette	FL	Surgery of the Hand (Plastic Surgery) Physician	$223K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maps Sarasota	FL	Community/Behavioral Health Agency	$197.5K	$3.4M
Scott Lunin	FL	Medical Oncology Physician	$3.5M	$0
Sarasota Ambulatory Surgery Center Ltd	FL	Ambulatory Surgical Clinic/Center	$3.1M	$0
Cathy Milam	FL	Specialist	$1.3M	$0
Megan Bogart	FL	Dermatology Physician	$1M	$0
Daniel Gehring	FL	Certified Registered Nurse Anesthetist	$429.3K	$0
Gerard Curtis	FL	Urology Physician	$355.7K	$0
William Sutton	FL	Podiatrist	$331.6K	$0
Robert Herbold	FL	Foot & Ankle Surgery Podiatrist	$279K	$0
Nadia Urato	FL	MOHS-Micrographic Surgery Physician	$243.5K	$11.7K

Shivaniben Patel — Billing Profile & Reimbursement Data

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Shivaniben 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