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

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

Mitalkumar Patel (NPI 1922326271)

Field	Value
Entity Type	Individual
Organization	Mitalkumar Patel
Address	1363 W. Lane Road
City	Machesney Park
State	IL
ZIP	61115
Taxonomy	Dentist
NPI Enumerated	May 12, 2010

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1351	Sealant - per tooth	11,960	$60	$753.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	8,890	$70	$577.9K
D1120	Prophylaxis–child	12,030	$40	$493.3K
D0120	Periodic oral evaluation - established patient	15,820	$30	$442.9K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	2,310	$140	$333.2K
D1208	Topical application of fluoride - excluding varnish	12,110	$30	$314.8K
D2150	Amalgam - two surfaces, primary or permanent	4,040	$70	$282.9K
D2332	N/A	2,740	$100	$279.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,330	$40	$278.5K
D2160	Amalgam - three surfaces, primary or permanent	1,930	$90	$173.4K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Mitalkumar Patel — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1120	Prophylaxis–child	69	2,140	960	$40	$89.1K
D1351	Sealant - per tooth	23	1,270	530	$60	$87.1K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	21	510	230	$160	$83.3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	84	490	160	$100	$64.4K
D0120	Periodic oral evaluation - established patient	42	2,170	1,010	$30	$64.3K
D5110	N/A	7	70	40	$400	$55.7K
D3220	N/A	84	110	120	$80	$50.6K
D1208	Topical application of fluoride - excluding varnish	33	1,480	700	$20	$45.2K
D2392	Post 2 surface resin‑based composite	131	1,300	290	$60	$44K
D5120	N/A	6	60	30	$400	$43.3K

Showing 1–10 of 31

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pinkesh Shah	IL	Dentist	$0	$6.7M
Yoosuk Ko	IL	Dentist	$0	$3.7M
Jaideep Atwal	IL	Dentist	$0	$3.5M
Youngwoo Lim	IL	Dentist	$0	$3.4M
Dental Experts, LLC	IL	General Practice Dentistry	$0	$3.3M
Henry Cho	IL	Dentist	$0	$3.2M
Wei Gao	IL	General Practice Dentistry	$0	$2.9M
Abeer Jabori	IN	Dentist	$0	$2.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harlem School Dist 122	IL	Local Education Agency (LEA)	$0	$6.9M

Mitalkumar Patel — Billing Profile & Reimbursement Data

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Mitalkumar Patel — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References