Active NPI 1215959622 Individual Practitioner Male Practitioner

Dr. Hitesh K Patel , MD

Ophthalmology • Edison, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Hitesh Patel, MD is a certified Ophthalmology practicing in Edison, NJ. With approximately 33 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 1993, Dr. Patel delivers high-quality medical care to the local community at 228 PLAINFIELD AVE.

Dr. Patel is affiliated with Patel Eye Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, established patient outpatient office visit, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

228 Plainfield Ave

Edison, NJ 088173738

Telephone 7329855009

Fax 7329855155

Associated Practice Facility / Clinic

🏢 Patel Eye Associates Llc Facility NPI 1831305267

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Edison, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs -4.4 yrs vs City Avg

City Avg: 37.4 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

9 Specialists

Practicing in Edison, NJ (700 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (33 Years) 33 Yrs

Edison Specialty Average (37.4 Years) 37.4 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
J2777 Injection, faricimab-svoa, 0.1 mg	2,581	12	$50.00	$34.40
99213 Established patient office or other outpatient visit, typically 15 minutes	499	281	$175.22	$95.19
92083 Exam of visual field with extended testing	318	306	$160.00	$67.64
92014 Established patient complete exam of visual system	298	254	$200.57	$133.24
92134 Imaging of retina	263	157	$150.00	$41.90
92250 Photography of the retina	254	249	$200.00	$35.99
92020 Examination of cornea and iris using lens device and slit lamp	168	162	$60.96	$28.51
92133 Imaging of optic nerve	168	156	$150.00	$37.18
67028 Injection of drug into eye	111	25	$800.00	$117.76
J0178 Injection, aflibercept, 1 mg	102	17	$1500.00	$828.54
76512 Ultrasound of eye disease, growth, or structure	100	41	$220.00	$48.13
66984 Removal of cataract with insertion of lens	90	55	$1711.61	$505.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	81	$284.21	$134.18
66821 Removal of recurring cataract in lens capsule using a laser	85	53	$600.00	$350.73
65855 Laser repair to improve eye fluid flow	57	31	$1000.00	$255.43
92136 Measurement of corneal curvature and depth of eye	36	35	$150.00	$49.03
92004 New patient complete exam of visual system	34	34	$332.67	$157.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$300.00	$173.89
66982 Complex removal of cataract with insertion of prosthetic lens	22	18	$2291.45	$687.96
65820 Incision to improve eye fluid flow	21	14	$1807.93	$844.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	570	312	$175.05	$100.52
92083 Exam of visual field with extended testing	380	361	$160.00	$71.80
92250 Photography of the retina	341	327	$200.00	$38.97
92014 Established patient complete exam of visual system	337	301	$200.00	$143.11
J0178 Injection, aflibercept, 1 mg	282	29	$1494.68	$868.02
92134 Imaging of retina	263	118	$150.00	$44.99
92020 Examination of cornea and iris using lens device and slit lamp	198	193	$62.64	$30.99
67028 Injection of drug into eye	160	30	$800.00	$126.51
92133 Imaging of optic nerve	143	137	$150.00	$40.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	91	$285.43	$141.95
76512 Ultrasound of eye disease, growth, or structure	88	37	$222.73	$51.98
66984 Removal of cataract with insertion of lens	85	55	$1493.26	$557.57
66821 Removal of recurring cataract in lens capsule using a laser	72	44	$600.00	$377.56
92004 New patient complete exam of visual system	69	69	$339.50	$169.00
65855 Laser repair to improve eye fluid flow	48	27	$1000.00	$274.65
68200 Injection into conjunctiva	41	30	$75.45	$18.72
92136 Measurement of corneal curvature and depth of eye	34	31	$150.00	$52.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$302.54	$184.34
65820 Incision to improve eye fluid flow	18	12	$1863.00	$923.17
66982 Complex removal of cataract with insertion of prosthetic lens	18	16	$2500.00	$680.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	512	285	$142.88	$103.10
92083 Exam of visual field with extended testing	338	322	$160.00	$73.80
92014 Established patient complete exam of visual system	328	302	$200.28	$146.40
92250 Photography of the retina	292	283	$200.00	$39.45
92134 Imaging of retina	196	96	$150.00	$46.33
92020 Examination of cornea and iris using lens device and slit lamp	193	186	$64.60	$32.14
J0178 Injection, aflibercept, 1 mg	174	21	$1500.00	$899.54
92133 Imaging of optic nerve	126	115	$150.00	$41.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	117	$289.26	$144.94
67028 Injection of drug into eye	103	23	$800.00	$128.77
66984 Removal of cataract with insertion of lens	97	61	$1413.75	$552.64
92004 New patient complete exam of visual system	75	75	$344.58	$172.84
92136 Measurement of corneal curvature and depth of eye	63	53	$134.54	$57.63
68200 Injection into conjunctiva	58	42	$76.40	$19.12
65855 Laser repair to improve eye fluid flow	51	31	$1000.00	$281.09
76512 Ultrasound of eye disease, growth, or structure	47	33	$306.38	$53.68
66821 Removal of recurring cataract in lens capsule using a laser	47	28	$600.00	$385.81
65820 Incision to improve eye fluid flow	26	16	$1898.49	$954.50
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	20	11	$1000.00	$346.76
66982 Complex removal of cataract with insertion of prosthetic lens	17	15	$2198.08	$637.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	573	302	$130.13	$104.59
92014 Established patient complete exam of visual system	428	379	$200.22	$147.63
92083 Exam of visual field with extended testing	196	188	$160.00	$75.23
92020 Examination of cornea and iris using lens device and slit lamp	195	190	$65.17	$32.18
92250 Photography of the retina	180	174	$200.00	$41.78
J0178 Injection, aflibercept, 1 mg	176	29	$1500.00	$919.35
92134 Imaging of retina	118	72	$98.75	$47.41
92004 New patient complete exam of visual system	95	95	$351.75	$174.92
66984 Removal of cataract with insertion of lens	91	59	$1287.68	$564.25
67028 Injection of drug into eye	91	32	$800.00	$131.32
76512 Ultrasound of eye disease, growth, or structure	86	35	$218.60	$54.73
66821 Removal of recurring cataract in lens capsule using a laser	66	41	$604.55	$395.47
65855 Laser repair to improve eye fluid flow	56	31	$461.10	$232.99
92133 Imaging of optic nerve	52	51	$92.02	$43.15
92136 Measurement of corneal curvature and depth of eye	42	39	$136.97	$63.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$292.16	$148.03
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	24	$64.89	$26.86
66821 Removal of recurring cataract in lens capsule using a laser	23	13	$714.51	$362.33
66982 Complex removal of cataract with insertion of prosthetic lens	21	17	$1781.36	$829.62
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	17	11	$535.56	$271.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	571	442	$227.32	$145.66
99213 Established patient office or other outpatient visit, typically 15 minutes	334	223	$130.00	$85.44
92083 Exam of visual field with extended testing	317	310	$160.00	$74.13
92250 Photography of the retina	288	278	$200.00	$47.57
92020 Examination of cornea and iris using lens device and slit lamp	212	200	$70.82	$31.74
J0178 Injection, aflibercept, 1 mg	206	37	$1500.00	$930.42
92134 Imaging of retina	137	89	$149.72	$46.72
67028 Injection of drug into eye	109	38	$796.33	$115.30
92004 New patient complete exam of visual system	106	106	$305.27	$172.93
92136 Measurement of corneal curvature and depth of eye	81	58	$200.00	$72.71
76512 Ultrasound of eye disease, growth, or structure	79	46	$268.35	$58.19
66984 Removal of cataract with insertion of lens	79	54	$2053.30	$622.03
92133 Imaging of optic nerve	68	68	$150.00	$42.03
66821 Removal of recurring cataract in lens capsule using a laser	68	44	$600.00	$387.53
76514 Ultrasound scan of cornea to determine thickness	44	44	$40.00	$12.90
92201 Extended exam of the back part of the eye with retinal drawing	31	31	$150.00	$28.32
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	28	$99.61	$27.24
66821 Removal of recurring cataract in lens capsule using a laser	23	16	$600.00	$357.19
65855 Laser repair to improve eye fluid flow	20	14	$1017.20	$234.79
0191T Internal insertion of eye fluid drainage device	16	11	$2000.00	$377.81
66982 Complex removal of cataract with insertion of prosthetic lens	15	14	$3250.22	$856.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	837	609	$200.12	$143.11
99213 Established patient office or other outpatient visit, typically 15 minutes	517	309	$130.00	$82.77
92083 Exam of visual field with extended testing	444	424	$160.00	$73.48
92250 Photography of the retina	384	376	$200.00	$51.70
92020 Examination of cornea and iris using lens device and slit lamp	275	263	$70.00	$30.99
92134 Imaging of retina	213	118	$150.00	$46.00
J0178 Injection, aflibercept, 1 mg	202	30	$1500.00	$942.55
76512 Ultrasound of eye disease, growth, or structure	160	74	$212.50	$66.01
92225 Examination of eye by ophthalmoscope with retinal drawing	154	77	$75.00	$30.94
92004 New patient complete exam of visual system	139	139	$300.00	$170.16
67028 Injection of drug into eye	109	32	$800.00	$113.83
66984 Removal of cataract with insertion of lens	98	75	$2000.00	$716.24
92133 Imaging of optic nerve	98	97	$150.00	$41.37
92136 Measurement of corneal curvature and depth of eye	62	51	$200.00	$80.66
76514 Ultrasound scan of cornea to determine thickness	53	52	$40.00	$13.34
66821 Removal of recurring cataract in lens capsule using a laser	47	32	$600.00	$354.10
65855 Laser repair to improve eye fluid flow	40	24	$1000.00	$232.45
66821 Removal of recurring cataract in lens capsule using a laser	36	25	$600.00	$378.25
66982 Complex removal of cataract with insertion of prosthetic lens	27	20	$3000.00	$887.50
0191T Internal insertion of eye fluid drainage device	20	14	$2000.00	$371.65
0376T Insertion of eye drainage device	20	14	$2000.00	$185.82
92235 Exam of retinal blood vessels using a special camera after injection of a dye	11	11	$300.00	$105.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	766	608	$180.26	$141.91
99213 Established patient office or other outpatient visit, typically 15 minutes	755	401	$130.00	$80.81
92083 Exam of visual field with extended testing	454	437	$160.00	$73.16
92250 Photography of the retina	425	415	$153.69	$57.59
92134 Imaging of retina	297	164	$150.00	$46.57
J0178 Injection, aflibercept, 1 mg	262	34	$1500.00	$953.29
92020 Examination of cornea and iris using lens device and slit lamp	252	243	$70.00	$29.88
92004 New patient complete exam of visual system	167	167	$249.10	$169.20
67028 Injection of drug into eye	143	34	$602.80	$113.31
92133 Imaging of optic nerve	130	124	$150.00	$42.20
92136 Measurement of corneal curvature and depth of eye	108	83	$200.00	$90.40
66984 Removal of cataract with insertion of lens	97	75	$2000.00	$714.43
76512 Ultrasound of eye disease, growth, or structure	83	61	$346.99	$83.02
92225 Examination of eye by ophthalmoscope with retinal drawing	80	57	$88.75	$30.26
66821 Removal of recurring cataract in lens capsule using a laser	35	26	$600.00	$351.78
66821 Removal of recurring cataract in lens capsule using a laser	32	22	$600.00	$374.00
65855 Laser repair to improve eye fluid flow	32	16	$1000.00	$231.22
66982 Complex removal of cataract with insertion of prosthetic lens	27	23	$3000.00	$879.12
76514 Ultrasound scan of cornea to determine thickness	27	27	$40.00	$16.18
0191T Internal insertion of eye fluid drainage device	22	16	$2000.00	$833.98
92025 Ct scan of cornea	16	14	$100.00	$40.07
92235 Exam of retinal blood vessels using a special camera after injection of a dye	14	14	$264.29	$98.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	990	464	$130.00	$77.98
92014 Established patient complete exam of visual system	566	498	$160.00	$133.76
92083 Exam of visual field with extended testing	485	472	$160.00	$63.10
92250 Photography of the retina	463	454	$120.00	$72.55
92134 Imaging of retina	293	163	$150.00	$44.01
92020 Examination of cornea and iris using lens device and slit lamp	261	255	$70.00	$28.79
J0178 Injection, aflibercept, 1 mg	220	36	$1500.00	$962.57
92004 New patient complete exam of visual system	186	186	$200.00	$160.31
92133 Imaging of optic nerve	156	155	$150.00	$40.20
92136 Measurement of corneal curvature and depth of eye	142	103	$200.00	$99.52
67028 Injection of drug into eye	126	38	$500.00	$108.60
66984 Removal of cataract with insertion of lens	124	86	$2000.00	$685.33
76512 Ultrasound of eye disease, growth, or structure	97	83	$395.88	$97.18
92225 Examination of eye by ophthalmoscope with retinal drawing	90	71	$80.00	$28.77
76514 Ultrasound scan of cornea to determine thickness	61	60	$40.00	$15.26
66821 Removal of recurring cataract in lens capsule using a laser	48	32	$600.00	$336.63
66982 Complex removal of cataract with insertion of prosthetic lens	36	31	$3000.00	$849.26
65855 Laser repair to improve eye fluid flow	31	18	$1000.00	$221.76
0191T Internal insertion of eye fluid drainage device	26	21	$2000.00	$1118.26
92136 Measurement of corneal curvature and depth of eye	22	22	$200.00	$33.16
92025 Ct scan of cornea	18	13	$100.00	$38.13
92235 Exam of retinal blood vessels using a special camera after injection of a dye	18	18	$200.00	$93.64
66821 Removal of recurring cataract in lens capsule using a laser	15	11	$600.00	$357.66
92286 Imaging of front third of eye using a special microscope	14	14	$300.00	$39.98
92285 Photography of content of eyes	12	12	$50.00	$21.78

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NJ 25MAO6539000

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License PA MD064657L

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0010570 (NJ)

Hospital & Practice Group Affiliations

Patel Eye Associates Llc

228 Plainfield Ave, Edison, NJ 088173868

Phone: 7329855009

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Himanshu Shah , MD

Ophthalmology

NPI 1104833276

Doctor of Medicine (M.D.)

Dr. Gary Steinberg , OD

Optometrist

NPI 1538575758

Doctor of Optometry

Dr. Daniel Diamond , OD

Optometrist

NPI 1730666058

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 27, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 27, 2013

Registered at 228 PLAINFIELD AVE, EDISON, NJ 088173738 (Tel: 7329855009)

📍

Updated Business Mailing Address August 27, 2013

Registered at 2021 TROWBRIDGE DR, NEWTOWN, PA 189409438 (Tel: 2158600875)

👤

Provider Name / Credentials Updated August 27, 2013

Recorded as HITESH PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2013

Ophthalmology (License #25MAO6539000 in NJ)

🟢

Initial NPI Registration & Enumeration July 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215959622

Entity Type:

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

Enumeration Date: July 24, 2006

Last Update: August 27, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2021 Trowbridge Dr

Newtown, PA 189409438

Phone: 2158600875

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.