SUMIT PATEL, M.D.
Pulmonary Disease Physician · CHATTANOOGA, TN
Individual Active NPI 1255695011
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 884 | 1,949 | $350,911 | $130,255 | $100,312 |
| 2023 | 827 | 1,702 | $316,295 | $121,287 | $94,127 |
| 2022 | 806 | 1,686 | $288,529 | $109,959 | $84,545 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 94010 | Test to measure expiratory airflow and volume | 433 | $25 | $18 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 244 | $118 | $90 |
| 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 | 177 | $15 | $12 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 115 | $110 | $88 |
| 94729 | Test to examine how well the lungs exchange gases | 98 | $8 | $6 |
| 94010 | Test to measure expiratory airflow and volume | 91 | $8 | $6 |
| 99291 | Critical care, first 30-74 minutes | 84 | $197 | $158 |
| 94726 | Test to determine lung volumes using sensors | 73 | $11 | $9 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 71 | $167 | $129 |
| 94618 | Test for exercise-induced lung stress | 67 | $32 | $23 |
| 94729 | Test to examine how well the lungs exchange gases | 66 | $51 | $36 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 54 | $205 | $155 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 59404 | TN |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 59404 | TN | |
| Hospitalist Physician | 208M00000X | 59404 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- 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.