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NPI 1922045590 · Matawan, NJ · Internal Medicine Physician
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Vijay Patel is a internal medicine physician provider located in Matawan, New Jersey. This profile covers 56 Medicare and 32 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Vijay Patel |
| Address | 246 State Route 34 |
| City | Matawan |
| State | NJ |
| ZIP | 07747 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | June 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $435.9K |
| Medicaid | $164.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
56 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… | 1,060 | $110 | $120K |
| 99490 | The 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… | 1,540 | $50 | $81.8K |
| 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… | 770 | $80 | $60.2K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 140 | $160 | $22.6K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 340 | $60 | $20.3K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 120 | $140 | $17K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 40 | $250 | $8.8K |
| 99497 | The 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… | 120 | $70 | $7.8K |
| 99454 | The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period. | 160 | $50 | $7.3K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 70 | $100 | $7K |
Showing 1–10 of 56
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 56 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
56 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99309 | 1,286 | 1,400 | 210 | $80 | $37.5K |
| 93306 | 969 | 990 | 220 | $100 | $25.8K |
| 99214 | 402 | 13,640 | 130 | $90 | $23.6K |
| 99233 | 2,674 | 4,270 | 110 | $100 | $22.5K |
| 97110 | 4,434 | 4,430 | 780 | $20 | $20.9K |
| 99232 | 4,214 | 6,220 | 120 | $70 | $18.4K |
| 99490 | 18 | 490 | 170 | $50 | $16.6K |
| 99213 | 570 | 14,090 | 100 | $70 | $13.1K |
| 99215 | 570 | 3,750 | 40 | $140 | $12K |
| 99223 | 3,431 | 4,980 | 50 | $140 | $11.8K |
Showing 1–10 of 56
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
32 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… | 1,830 | $40 | $64.2K |
| 99490 | The 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… | 1,880 | $20 | $39.5K |
| 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… | 1,240 | $30 | $30.9K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 180 | $40 | $6.3K |
| 99497 | The 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… | 100 | $50 | $4.6K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 890 | $10 | $4.4K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 470 | $10 | $3.3K |
| 99401 | At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects… | 110 | $20 | $2.1K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 90 | $20 | $1.4K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 100 | $10 | $1.4K |
Showing 1–10 of 32
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
32 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 96361 | The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration. | 83 | 90 | 6,760 | $40 | $359.8K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 112 | 130 | 2,540 | $70 | $320.1K |
| 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… | 1,851 | 4,450 | 740 | $40 | $229.8K |
| 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… | 1,111 | 3,790 | 580 | $60 | $204K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 341 | 740 | 150 | $100 | $100.3K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 1,189 | 1,520 | 260 | $40 | $71.9K |
| 97803 | The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code… | 160 | 190 | 640 | $30 | $49.7K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 198 | 580 | 390 | $20 | $46.2K |
| 87811 | The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by… | 162 | 190 | 280 | $20 | $23.8K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 225 | 550 | 310 | $10 | $21.1K |
Showing 1–10 of 32
Other providers in the same ZIP code as Vijay Patel, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Community Care Partners LLC | NJ | Community/Behavioral Health Agency | $0 | $38M |
| Matawan Adult Day Care, LLC | NJ | Adult Day Care Clinic/Center | $0 | $12.7M |
| Stress Care Of New Jersey, LLC | NJ | Community/Behavioral Health Agency | $0 | $12.4M |
| Chris Desilvestri | NJ | Mental Health Counselor | $0 | $10.3M |
| Vasantha Perkari | NJ | Internal Medicine Physician | $689.8K | $0 |
| Christopher Mullin | NJ | Foot Surgery Podiatrist | $118.4K | $0 |
| Carla Silva | NJ | Occupational Therapist | $109.5K | $0 |
| Daniel Pepitone | NJ | Physical Therapist | $91.6K | $0 |
| Nusrat Pathan | NJ | Anatomic Pathology & Clinical Pathology Physician | $47.8K | $0 |
| Anthony Ambrogio | NJ | Chiropractor | $37.8K | $0 |
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