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    OpenPayerNPI Medicare & MedicaidParthiv Mehta
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    Parthiv Mehta — Billing Profile & Reimbursement Data

    NPI 1962539759 · Glenview, IL · Radiation Oncology Physician

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    Parthiv Mehta is a radiation oncology physician provider located in Glenview, Illinois. This profile covers 39 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationParthiv Mehta
    Address2600 Patriot Blvd
    CityGlenview
    StateIL
    ZIP60026
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedFebruary 27, 2007

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

    Payer SourceTotal Paid
    Medicare$5.9M
    Medicaid$0

    Key Findings

    Revenue concentration is highly focused: the precomputed top-3 Medicare codes (Q2043, G6015, 55874) account for 73.3% of this provider's total Medicare revenue, with total Medicare revenue reported as $5.9M. This indicates that a small set of high-value and high-volume oncology/radiation services dominate the practice's Medicare income stream.

    This provider operates effectively as a Medicare-only biller: Medicare revenue is $5.9M while Medicaid billing is none, so the practice has no Medicaid billing on file and is functionally single-payer by public program. That payer concentration may reflect a referral and payer mix oriented to fee-for-service Medicare beneficiaries rather than state Medicaid populations.

    Clinical/service-line profile: the code mix is consistent with a high-volume radiation oncology practice that also provides advanced oncologic procedures. High-volume treatment delivery and planning codes such as G6015 (5.8K claims, $1.8M revenue), 77301 (159 claims, $244.5K), 77300 (2.3K claims, $125.9K) and a cluster of IMRT/physics/planning codes (77338, 77336, 77290, 77280) show heavy investment in complex external-beam radiation services, while prostate-targeted procedures like 55874 (140 claims, $337K) and implantable markers A4648 (705 claims, $153K) point to a substantial prostate-cancer procedural volume.

    High-revenue immunotherapy infusion is material to the business: Q2043 accounted for $2.2M in revenue from 53 claims and ranks #1 of 4 providers nationally (100th percentile; typical, unremarkable volume for this code). The presence of this high-dollar biologic alongside high-volume radiation delivery suggests the practice bills both procedural radiation and select high-cost oncologic infusions, which can change revenue mix and billing workflows.

    Competitive standing: the provider is a national outlier on several metrics and a leader on specific codes. Notably, G6015 ranks #3 of 1429 providers nationally (100th percentile; extreme outlier) and A4648 ranks #1 of 169 providers nationally (100th percentile; extreme outlier), while multiple planning and delivery codes (e.g., 77301, 77427, 77300, 77338, 77336, G6017) are at or near the top percentiles — collectively characterizing this provider as a major volume contributor among Medicare peers for advanced radiation services.

    Prostate procedural intensity: prostate-specific services appear to be a meaningful subline of business — 55874 generated $337K (140 claims, ranks #4 of 557, 99th percentile; extreme outlier) and 55876 appears as well (153 claims, $11K, ranks #3 of 571, 100th percentile; extreme outlier). Combined with the high count of implantable tissue markers A4648 (705 claims, $153K), the data indicate a concentrated procedural stream around prostate cancer interventions and localization.

    Statistical outlier signal is strong across many codes: multiple entries are labeled “extreme outlier” and sit at 99th–100th percentiles (examples include G6015, A4648, 77301, 77427, 77300, 77338, 77336, G6017). This consistent high-percentile pattern across treatment delivery, planning, physics, and prostate procedures suggests the provider operates at volumes far above typical national peers for these specialized services.

    Tenure and experience: the provider's NPI was enumerated on 2007-02-27 (~19 years ago), indicating a long-established billing history with Medicare. That length of enrollment aligns with the sustained high-volume patterns observed and suggests an established practice infrastructure supporting complex radiation oncology services.

    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q2043Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion50$41,970$2.2M
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session5,820$300$1.8M
    55874Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…140$2,410$337K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…160$1,540$244.5K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…1,170$160$191.4K
    A4648Tissue marker, implantable, any type, each710$220$153K
    77373This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…170$850$145.3K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…2,290$60$125.9K
    77338In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…290$390$114.3K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…1,230$70$90.7K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q204311050$41,970$2.2M
    G6015130670$290$260.2K
    5587412020$1,840$62.4K
    7737311040$790$52.5K
    774271190160$150$28.7K
    772801514040$180$26.7K
    77301215040$560$23.1K
    J921712160140$130$21.1K
    96413268370130$100$19.3K
    A464811040$200$18.7K

    Showing 1–10 of 39

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brett CoxILRadiation Oncology Physician$1.6M$0
    Kenneth BeckILAnatomic Pathology & Clinical Pathology Physician$1.6M$210
    Michael ShriverOHDiagnostic Radiology Physician$1.1M$0
    Steven MutchnikILUrology Physician$982K$17.5K
    Paul DesrosiersILRadiation Oncology Physician$982.1K$0
    Aaron BergerILUrology Physician$904.1K$4.5K
    Mark BrandtILUrology Physician$691.3K$25.1K
    Jayant GindeILRadiation Oncology Physician$691.4K$0
    Gregory AndrosILUrology Physician$645.8K$10
    Stephen PomeranzOHDiagnostic Radiology Physician$642.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Glen Endoscopy Center, LLCILAmbulatory Surgical Clinic/Center$941.6K$0
    Madhu GorlaILOphthalmology Physician$660.9K$0
    Terry ZuckerILPodiatrist$214.8K$421.2K
    Benjamin MarksILDermatology Physician$438.4K$162K
    Micah EimerILCardiovascular Disease Physician$356.6K$68.7K
    Betty KongILDermatology Physician$189K$232.1K
    Sherazad IslamILPediatric Radiology Physician$150.5K$180.3K
    Greg DenenbergILInternal Medicine Physician$272.3K$0
    Thomas FichoILInternal Medicine Physician$271.4K$0
    Alex RoILClinical Cardiac Electrophysiology Physician$265.2K$2.7K

    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. Illinois Distribution
    Parthiv Mehta — 16 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois