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

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

Suresh Patel (NPI 1912938176)

Field	Value
Entity Type	Individual
Organization	Suresh Patel
Address	3575 Old Washington Rd
City	Waldorf
State	MD
ZIP	20602
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 6, 2006

Payer Source	Total Paid
Medicare	$693.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	2,080	$70	$137.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	1,010	$130	$132.6K
99213	The 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…	1,750	$50	$87.5K
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	330	$190	$63.8K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	360	$160	$56.6K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	670	$70	$45.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	370	$100	$35.5K
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	330	$80	$27.7K
G0008	Administration of influenza virus vaccine	690	$30	$21.4K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	60	$240	$15.2K

Showing 1–10 of 31

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Suresh Patel — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

31 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	174	500	290	$110	$38K
99214	52	10,270	150	$90	$24.1K
93925	10	230	40	$150	$18.8K
G0439	3	2,320	90	$130	$16K
99457	115	210	170	$40	$13.2K
93880	22	490	60	$120	$12.6K
99213	34	9,280	100	$60	$12.5K
99454	112	230	150	$40	$11.7K
93978	28	110	50	$120	$10.4K
90677	105	1,390	20	$280	$8.6K

Showing 1–10 of 31

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regenerations Counseling Services Inc	MD	Community/Behavioral Health Agency	$0	$11.5M
H.o.p.e Behavioral Health	MD	Mental Health Counselor	$0	$9.5M
H.o.p.e Behavioral Health	MD	Community/Behavioral Health Agency	$0	$5.4M
Omar Ahmad	MD	Ophthalmology Physician	$2.2M	$0
Gopalakrishnan Srinivasan	MD	Cardiovascular Disease Physician	$1.7M	$0
John Choi	MD	Ophthalmology Physician	$1.4M	$0
Vivek Nag	MD	Cardiovascular Disease Physician	$1.1M	$0
M Ashraf Meelu	MD	Hematology & Oncology Physician	$886.9K	$0
Terence Bertele	MD	Cardiovascular Disease Physician	$814.6K	$0
The Waldorf Endoscopy Asc, LLC	MD	Ambulatory Surgical Clinic/Center	$478.9K	$0

Suresh Patel — Billing Profile & Reimbursement Data

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Suresh 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

Nearby Providers

Frequently Asked Questions

References