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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Hejal Patel
๐ŸŽ—๏ธ
MDIndividual

Hejal Patel, M.D.

NPI: 1174746168
Opp, AL
10 years of data
Radiation Oncology
$26.0M
Total Payments
30.2K
Beneficiaries
163.1K
Services
5x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$26.0M
Specialty median$300.5K

๐Ÿ“‹ Key Findings

1Billed $26.0M over 10 years
25x markup ratio (above median)
399th percentile in Radiation Oncology by payments
465 services/day โ€” unusually high
520 procedures with >3x markup

This provider averages 65 services per working day

Based on 163.1K total services over 10 years (250 working days/year). Learn about impossible service volumes โ†’

๐Ÿ”Ž Data Analysis

This provider's $26.0M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.

Averaging 65 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$712.86$157.984.51x$554.88$2.3M14.9K3.0K
2015$850.69$194.794.37x$655.90$2.0M13.1K2.6K
2016$707.38$163.384.33x$544.00$2.1M14.7K2.8K
2017$1.0K$211.834.82x$808.99$2.4M15.3K2.9K
2018$988.97$201.744.90x$787.23$3.2M20.2K3.5K
2019$1.1K$210.605.15x$874.26$3.4M21.2K3.7K
2020$1.1K$217.565.07x$885.81$3.2M19.3K3.5K
2021$1.2K$223.845.18x$936.43$2.7M15.9K3.0K
2022$1.2K$224.405.44x$996.71$2.6M15.5K2.9K
2023$1.2K$202.165.78x$966.58$2.1M13.1K2.5K

Top Procedures (20)

G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment sessionโš  4.8x markup
$10.6M
41.2K services$256.62/svc4.76x markup
77301Management of modulation radiotherapy planningโš  4.9x markup
$2.4M
1.8K services$1.4K/svc4.86x markup
77014CT scan guidance for insertion of radiation therapy fieldsโš  7.1x markup
$2.4M
27.4K services$87.64/svc7.06x markup
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mevโš  4.2x markup
$2.2M
12.0K services$180.60/svc4.20x markup
77427Radiation treatment management, 5 treatmentsโš  4.3x markup
$1.6M
11.4K services$142.46/svc4.26x markup
77418Intensity modulated radiation treatment delivery per sessionโš  5.5x markup
$1.0M
3.8K services$272.52/svc5.48x markup
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapyโš  6.5x markup
$1.0M
19.0K services$54.65/svc6.50x markup
77336Radiation therapy consultation per weekโš  4.6x markup
$665.5K
11.8K services$56.44/svc4.59x markup
77338Design and construction of device for radiation therapyโš  4.4x markup
$657.1K
1.8K services$360.63/svc4.44x markup
77373Stereotactic body radiation therapy 1 or more lesions using imaging guidanceโš  6.1x markup
$529.6K
620 services$854.17/svc6.12x markup
77300Calculation of radiation therapy doseโš  4.6x markup
$525.0K
10.8K services$48.40/svc4.63x markup
77263Management of radiation therapy, complexโš  4.4x markup
$293.8K
2.3K services$125.29/svc4.37x markup
77290Management of radiation therapy, simulation, complexโš  4.7x markup
$269.8K
765 services$352.65/svc4.70x markup
77334Radiation treatment devices, design and construction, complexโš  5.1x markup
$269.8K
2.8K services$95.86/svc5.11x markup
77280Management of radiation therapy simulation, simpleโš  3.4x markup
$247.3K
1.3K services$192.74/svc3.39x markup
77413Radiation treatment delivery, three or more treatment areasโš  4.3x markup
$198.3K
1.3K services$154.77/svc4.35x markup
77421X-ray guidance for radiation therapy deliveryโš  6.1x markup
$118.9K
2.3K services$51.48/svc6.12x markup
99204New patient office or other outpatient visit, typically 45 minutesโš  4.2x markup
$117.2K
964 services$121.54/svc4.24x markup
G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mevโš  4.3x markup
$112.8K
610 services$184.85/svc4.32x markup
77295Management of radiation therapy, 3Dโš  6.4x markup
$103.0K
291 services$353.92/svc6.42x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session41.2K$10.6M$256.624.76x
77301Management of modulation radiotherapy planning1.8K$2.4M$1.4K4.86x
77014CT scan guidance for insertion of radiation therapy fields27.4K$2.4M$87.647.06x
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev12.0K$2.2M$180.604.20x
77427Radiation treatment management, 5 treatments11.4K$1.6M$142.464.26x
77418Intensity modulated radiation treatment delivery per session3.8K$1.0M$272.525.48x
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy19.0K$1.0M$54.656.50x
77336Radiation therapy consultation per week11.8K$665.5K$56.444.59x
77338Design and construction of device for radiation therapy1.8K$657.1K$360.634.44x
77373Stereotactic body radiation therapy 1 or more lesions using imaging guidance620$529.6K$854.176.12x
77300Calculation of radiation therapy dose10.8K$525.0K$48.404.63x
77263Management of radiation therapy, complex2.3K$293.8K$125.294.37x
77290Management of radiation therapy, simulation, complex765$269.8K$352.654.70x
77334Radiation treatment devices, design and construction, complex2.8K$269.8K$95.865.11x
77280Management of radiation therapy simulation, simple1.3K$247.3K$192.743.39x
77413Radiation treatment delivery, three or more treatment areas1.3K$198.3K$154.774.35x
77421X-ray guidance for radiation therapy delivery2.3K$118.9K$51.486.12x
99204New patient office or other outpatient visit, typically 45 minutes964$117.2K$121.544.24x
G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev610$112.8K$184.854.32x
77295Management of radiation therapy, 3D291$103.0K$353.926.42x

Markup Analysis

Charge-to-Payment Ratio

5x

This provider submits charges 5 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5x means for every $100 Medicare pays, this provider initially charges $500. This is higher than the national average.

Location

Opp, AL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

Believe this data is inaccurate? Dispute this data