PRATIK PATEL, M.D.
Clinical Cardiac Electrophysiology Physician · MUNSTER, IN
Individual Active NPI 1104082445
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,462 | 4,672 | $1,182,593 | $427,451 | $329,277 |
| 2023 | 1,286 | 3,883 | $1,011,063 | $381,907 | $290,888 |
| 2022 | 1,870 | 4,872 | $1,013,235 | $395,388 | $300,611 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 792 | $89 | $65 |
| 93298 | Evaluation of cardiac rhythm monitor system, remote up to 30 days | 346 | $23 | $17 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 320 | $72 | $58 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 270 | $27 | $20 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 236 | $129 | $95 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 232 | $15 | $12 |
| 93295 | Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 216 | $33 | $24 |
| 93280 | Programming of dual lead pacemaker system | 209 | $34 | $25 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 182 | $118 | $92 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 149 | $108 | $86 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 126 | $160 | $127 |
| 93272 | Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional | 111 | $22 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | ✓ | 01080849A | IN |
| Internal Medicine Physician | 207R00000X | 125.054071 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 336088928 | IL | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 336088928 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.