Active NPI 1902995319 Individual Practitioner Male Practitioner

Dr. Anilkumar Kantilal Patel , MD

Internal Medicine • Visalia, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Anilkumar Patel, MD is a certified Internal Medicine practicing in Visalia, CA. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Patel delivers high-quality medical care to the local community at 4046 S DEMAREE ST.

Dr. Patel accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4046 S Demaree St

Visalia, CA 932779476

Telephone 5596888216

Fax 5596861238

Associated Practice Facility / Clinic

🏢 Incare Md Inc. Facility NPI 1164809083

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Visalia, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +9.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

60 Specialists

Practicing in Visalia, CA (18502 Statewide)

Telehealth Adoption Rate

21.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

28.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (34 Years) 34 Yrs

Visalia Specialty Average (24.5 Years) 24.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,456	513	$125.00	$92.51
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,052	107	$50.00	$49.23
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	763	368	$30.00	$16.30
99497 Advance care planning, first 30 minutes	417	416	$100.00	$82.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	397	397	$200.00	$131.61
G0008 Administration of influenza virus vaccine	305	303	$40.00	$32.91
90658 Influenza vaccine, trivalent, 0.5 ml dosage	299	298	$40.00	$21.42
99495 Transitional care management services for problem of at least moderate complexity	49	41	$300.00	$211.19
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	46	45	$50.00	$34.62
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	40	40	$300.00	$166.87
81002 Urinalysis, manual test	39	27	$12.00	$3.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	25	$150.00	$109.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$200.00	$169.34
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$200.00	$167.66
69210 Removal of impacted ear wax	16	15	$75.00	$48.48
17110 Destruction of up to 14 skin growths	14	12	$130.00	$119.48
20610 Aspiration and/or injection of fluid from large joint	12	11	$140.00	$65.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,449	524	$125.00	$90.96
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,282	126	$50.00	$49.23
99497 Advance care planning, first 30 minutes	435	435	$100.00	$83.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	415	415	$200.00	$131.59
G0008 Administration of influenza virus vaccine	310	306	$39.71	$31.34
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	310	306	$39.84	$20.45
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	78	68	$50.00	$34.62
99495 Transitional care management services for problem of at least moderate complexity	59	48	$300.00	$206.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	27	$150.00	$113.24
0134A Fee covid-19 vac 14 res	36	36	$44.00	$41.87
91313 Coronavirus vaccine 14	36	36	$0.01	$0.01
81002 Urinalysis, manual test	31	22	$12.00	$3.41
17110 Destruction of up to 14 skin growths	31	25	$130.00	$120.32
91312 Coronavirus vaccine 13	31	30	$0.01	$0.01
0124A Fee covid-19 vac 13 res	31	30	$44.00	$41.87
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$300.00	$167.94
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$200.00	$168.31
J1030 Injection, methylprednisolone acetate, 40 mg	20	14	$30.00	$7.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$200.00	$169.14
69210 Removal of impacted ear wax	17	17	$75.00	$46.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,541	557	$125.00	$94.59
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,567	156	$50.00	$50.10
99497 Advance care planning, first 30 minutes	466	464	$100.00	$87.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	448	448	$200.00	$136.40
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	363	358	$34.94	$20.01
G0008 Administration of influenza virus vaccine	362	357	$30.00	$29.89
91300 Sarscov2 vac 30mcg/0.3ml im	202	198	$0.01	$0.01
0004A Fee covid-19 vac 1 res	183	182	$44.00	$41.76
0134A Fee covid-19 vac 14 res	148	148	$44.00	$41.37
91313 Coronavirus vaccine 14	148	148	$0.01	$0.01
0094A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 50 mcg/0.5 ml dosage, booster dose	139	139	$44.00	$41.73
91309 Sarscov2 vac 50mcg/0.5ml im	139	139	$0.01	$0.01
0124A Fee covid-19 vac 13 res	137	136	$44.00	$41.07
91312 Coronavirus vaccine 13	136	135	$0.01	$0.01
99495 Transitional care management services for problem of at least moderate complexity	59	49	$300.00	$216.53
17110 Destruction of up to 14 skin growths	35	32	$130.00	$122.46
81002 Urinalysis, manual test	34	25	$12.00	$3.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	24	$150.00	$121.31
91301 Sarscov2 vac 100mcg/0.5ml im	29	29	$0.01	$0.01
0013A Adm sarscov2 100mcg/0.5ml3rd	27	27	$44.00	$41.96
69210 Removal of impacted ear wax	26	26	$75.00	$49.42
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	21	16	$125.00	$109.42
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$200.00	$174.95
J1030 Injection, methylprednisolone acetate, 40 mg	17	16	$30.00	$6.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$200.00	$162.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$300.00	$175.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$75.00	$59.37
0003A Adm sarscov2 30mcg/0.3ml 3rd	12	12	$44.00	$42.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,717	602	$125.00	$95.54
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	522	163	$50.00	$42.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	471	471	$200.00	$138.92
99497 Advance care planning, first 30 minutes	422	418	$100.00	$88.39
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	317	316	$30.00	$19.91
G0008 Administration of influenza virus vaccine	315	314	$30.00	$18.02
91300 Sarscov2 vac 30mcg/0.3ml im	301	292	$0.14	$0.01
0003A Adm sarscov2 30mcg/0.3ml 3rd	287	287	$43.94	$42.32
91301 Sarscov2 vac 100mcg/0.5ml im	255	248	$0.01	$0.01
0013A Adm sarscov2 100mcg/0.5ml3rd	236	236	$44.00	$42.35
99495 Transitional care management services for problem of at least moderate complexity	64	48	$245.94	$214.24
81002 Urinalysis, manual test	58	41	$12.00	$3.48
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	56	56	$75.00	$64.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	35	$150.00	$116.91
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	38	38	$200.00	$176.68
17110 Destruction of up to 14 skin growths	38	29	$125.26	$121.97
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	36	36	$300.00	$171.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$200.00	$175.19
69210 Removal of impacted ear wax	19	19	$75.00	$49.81
J1030 Injection, methylprednisolone acetate, 40 mg	14	12	$30.00	$5.73
0012A Adm sarscov2 100mcg/0.5ml2nd	13	13	$44.00	$42.35
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	13	13	$44.00	$42.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,459	635	$125.00	$79.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	450	450	$200.00	$122.97
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	310	307	$30.00	$19.16
G0008 Administration of influenza virus vaccine	308	305	$30.00	$17.68
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	70	70	$300.00	$180.28
81002 Urinalysis, manual test	51	39	$12.00	$3.46
99495 Transitional care management services for problem of at least moderate complexity	38	34	$210.00	$196.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$200.00	$171.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	19	$150.00	$75.02
69210 Removal of impacted ear wax	23	19	$75.00	$50.35
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$200.00	$176.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,291	606	$125.00	$77.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	374	374	$200.00	$121.12
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	295	40	$100.00	$71.16
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	290	287	$30.00	$17.30
G0008 Administration of influenza virus vaccine	285	282	$30.00	$17.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	126	$150.00	$106.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$200.00	$168.77
81002 Urinalysis, manual test	97	60	$12.00	$3.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	89	89	$300.00	$178.99
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	36	27	$150.00	$134.18
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	31	31	$200.00	$173.38
17110 Destruction of up to 14 skin growths	20	20	$120.00	$117.91
82962 Blood glucose (sugar) test performed by hand-held instrument	19	13	$15.00	$3.21
J1030 Injection, methylprednisolone acetate, 40 mg	18	16	$30.00	$5.97
20610 Aspiration and/or injection of fluid from large joint	13	11	$140.00	$62.28
69210 Removal of impacted ear wax	12	12	$75.00	$49.28
99495 Transitional care management services for problem of at least moderate complexity	11	11	$210.00	$171.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,253	616	$125.00	$75.15
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	380	48	$100.00	$70.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	335	335	$200.00	$116.77
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	298	295	$30.00	$17.42
G0008 Administration of influenza virus vaccine	298	295	$30.00	$21.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	270	138	$150.00	$108.06
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	96	96	$300.00	$174.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$200.00	$169.17
81002 Urinalysis, manual test	68	48	$12.00	$3.41
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	29	25	$150.00	$133.17
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	28	28	$200.00	$171.50
69210 Removal of impacted ear wax	23	23	$73.48	$49.69
17110 Destruction of up to 14 skin growths	20	19	$120.00	$112.28
82962 Blood glucose (sugar) test performed by hand-held instrument	15	13	$15.00	$3.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$175.00	$111.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,021	564	$125.00	$75.42
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	481	64	$100.00	$70.87
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	314	312	$30.00	$17.42
G0008 Administration of influenza virus vaccine	313	311	$30.00	$26.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	312	312	$200.00	$119.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	143	$150.00	$110.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	214	214	$200.00	$167.33
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	133	133	$300.00	$174.80
81002 Urinalysis, manual test	110	64	$12.00	$3.43
82962 Blood glucose (sugar) test performed by hand-held instrument	41	28	$15.00	$3.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$175.00	$111.56
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$200.00	$171.19
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	17	14	$150.00	$133.17
17000 Destruction of skin growth	15	14	$85.08	$69.62
69210 Removal of impacted ear wax	13	13	$69.62	$48.88
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	12	12	$400.00	$176.61

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA A76952

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00A769520 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Patricia King , C-PA

Family Medicine

NPI 1962575142

CPA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location June 07, 2019

Registered at 4046 S DEMAREE ST, VISALIA, CA 932779476 (Tel: 5596888216)

✅

NPI Profile Active September 12, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2017

Registered at 1860 S CENTRAL ST STE D, VISALIA, CA 932774497 (Tel: 5596888216)

📍

Updated Business Mailing Address September 12, 2017

Registered at PO BOX 6550, VISALIA, CA 932906550 (Tel: (559) 688-8216)

👤

Provider Name / Credentials Updated September 12, 2017

Recorded as ANILKUMAR PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2017

Internal Medicine (License #A76952 in CA)

✅

NPI Profile Active May 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 23, 2016

Registered at 1064 N CHERRY ST, TULARE, CA 932742251 (Tel: 5596888216)

📍

Updated Business Mailing Address May 23, 2016

Registered at PO BOX 6550, VISALIA, CA 932906550 (Tel: 5596888216)

👤

Provider Name / Credentials Updated May 23, 2016

Recorded as ANILKUMAR PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2016

Internal Medicine (License #A76952 in CA)

🟢

Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1902995319

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 12, 2006

Last Update: June 07, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 6550

Visalia, CA 932906550

Phone: 5596888216

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.