Active NPI 1790096253 Individual Practitioner Female Practitioner

Dr. Hetushma Patel , DO

Internal Medicine • Bethlehem, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Hetushma Patel, DO is a certified Internal Medicine practicing in Bethlehem, PA. With approximately 16 years of clinical experience since graduating from Rowan University School Of Osteopathic Medicine in 2010, Dr. Patel delivers high-quality medical care to the local community at 3201 HIGHFIELD DR STE D.

Dr. Patel is affiliated with Lehigh Valley Physician Group and 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, 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

3201 Highfield Dr Ste D

Bethlehem, PA 180201113

Telephone 6104190923

Fax 6104190942

Associated Practice Facility / Clinic

🏢 Lehigh Valley Physician Group Facility NPI 1225634660

Medicare Profile & Education

Medical School

Rowan University School Of Osteopathic Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bethlehem, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -2.9 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

161 Specialists

Practicing in Bethlehem, PA (7609 Statewide)

Telehealth Adoption Rate

18.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

51.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (16 Years) 16 Yrs

Bethlehem Specialty Average (18.9 Years) 18.9 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	264	166	$180.00	$85.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	196	$250.00	$121.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	215	215	$227.86	$122.47
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	57	53	$35.00	$15.68
G0008 Administration of influenza virus vaccine	36	36	$60.00	$30.77
90662 Influenza vaccine split virus, preservative free	30	30	$150.00	$81.82
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$308.33	$156.78
99495 Transitional care management services for problem of at least moderate complexity	14	14	$400.00	$194.52
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$320.00	$156.27
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$102.92	$13.42
G0009 Administration of pneumococcal vaccine	11	11	$60.00	$30.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	177	$216.71	$123.61
99213 Established patient office or other outpatient visit, typically 15 minutes	188	115	$146.38	$87.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	155	155	$189.45	$125.36
G0008 Administration of influenza virus vaccine	27	27	$55.74	$32.05
90662 Influenza vaccine split virus, preservative free	20	20	$100.00	$71.93
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$295.00	$160.91
G0009 Administration of pneumococcal vaccine	12	12	$47.50	$32.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	147	$205.00	$125.98
99213 Established patient office or other outpatient visit, typically 15 minutes	161	85	$140.00	$88.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	145	145	$160.00	$129.09
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$295.00	$165.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	72	$205.00	$128.44
99213 Established patient office or other outpatient visit, typically 15 minutes	58	50	$140.00	$90.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$160.00	$131.34
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$30.00	$20.53
G0008 Administration of influenza virus vaccine	15	15	$45.00	$18.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$315.00	$166.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	175	$196.41	$107.77
99213 Established patient office or other outpatient visit, typically 15 minutes	158	131	$133.95	$73.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	67	67	$177.09	$114.60
G0008 Administration of influenza virus vaccine	48	48	$34.00	$16.28
90662 Influenza vaccine split virus, preservative free	41	41	$85.00	$60.98
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$263.20	$169.48
99495 Transitional care management services for problem of at least moderate complexity	23	21	$321.35	$175.67
99441 Telephone medical discussion with physician, 5-10 minutes	15	12	$78.67	$44.61
81002 Urinalysis, manual test	13	13	$10.00	$3.46
G0009 Administration of pneumococcal vaccine	12	12	$33.33	$16.17
83036 Hemoglobin A1C level	11	11	$31.55	$9.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	317	233	$130.02	$70.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	170	$190.64	$106.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	87	87	$171.28	$114.27
G0008 Administration of influenza virus vaccine	51	51	$32.96	$15.95
90662 Influenza vaccine split virus, preservative free	46	46	$82.87	$54.78
81002 Urinalysis, manual test	33	32	$10.00	$3.41
83036 Hemoglobin A1C level	26	21	$30.42	$10.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$287.18	$156.34
G0009 Administration of pneumococcal vaccine	21	21	$32.33	$15.95
99495 Transitional care management services for problem of at least moderate complexity	20	20	$317.50	$160.97
99496 Transitional care management services for problem of high complexity	17	13	$405.12	$215.18
90670 Pneumococcal vaccine for injection into muscle	15	15	$292.33	$209.02
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$238.57	$164.08
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$41.69	$16.64
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$255.91	$169.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	318	239	$123.72	$70.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	143	$181.06	$103.45
G0008 Administration of influenza virus vaccine	55	55	$31.93	$19.57
90662 Influenza vaccine split virus, preservative free	51	51	$79.80	$52.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$165.43	$113.03
99335 Established patient assisted living visit, typically 25 minutes	33	20	$150.00	$93.31
99496 Transitional care management services for problem of high complexity	31	27	$387.58	$218.80
99495 Transitional care management services for problem of at least moderate complexity	23	21	$296.43	$152.79
83036 Hemoglobin A1C level	16	13	$29.50	$11.75
81002 Urinalysis, manual test	15	14	$9.80	$3.41
99336 Established patient assisted living visit, typically 40 minutes	14	13	$215.00	$133.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$282.42	$148.92
G0009 Administration of pneumococcal vaccine	11	11	$31.64	$19.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	246	185	$120.00	$70.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	245	171	$175.00	$103.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$158.00	$111.44
99335 Established patient assisted living visit, typically 25 minutes	37	24	$150.00	$92.91
99336 Established patient assisted living visit, typically 40 minutes	33	23	$215.00	$131.88
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	31	31	$235.00	$164.95
99495 Transitional care management services for problem of at least moderate complexity	30	29	$286.00	$157.55
G0008 Administration of influenza virus vaccine	28	26	$30.00	$24.05
99496 Transitional care management services for problem of high complexity	26	25	$375.00	$222.56
90662 Influenza vaccine split virus, preservative free	24	23	$75.00	$47.02
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$75.00	$16.34
83036 Hemoglobin A1C level	16	16	$28.00	$13.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$265.00	$149.89
G0009 Administration of pneumococcal vaccine	13	13	$30.00	$24.05

Medical Specialties & State Licenses

CMS Verified: 2020-12-02

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA OT013729

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.

Hospital & Practice Group Affiliations

Lehigh Valley Physician Group

3201 Highfield Dr, Bethlehem, PA 180201196

Phone: 6108680775

Secondary Practice Locations

801 Ostrum St

Bethlehem, PA 180151000

Phone: 6109544000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Jonathan Munves , MD

Internal Medicine

NPI 1003866328

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 02, 2020

Registered at 3201 HIGHFIELD DR STE D, BETHLEHEM, PA 180201113 (Tel: 6104190923)

📍

Updated Business Mailing Address December 02, 2020

Registered at 1605 N CEDAR CREST BLVD STE 110B, ALLENTOWN, PA 181042351 (Tel: 6109731410)

✅

NPI Profile Active June 29, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 29, 2010

Registered at 801 OSTRUM ST, BETHLEHEM, PA 180151000 (Tel: 6109544000)

📍

Updated Business Mailing Address June 29, 2010

Registered at 801 OSTRUM ST, BETHLEHEM, PA 180151000

👤

Provider Name / Credentials Updated June 29, 2010

Recorded as HETUSHMA PATEL, D.O

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2010

Internal Medicine (License #OT013729 in PA)

🟢

Initial NPI Registration & Enumeration June 29, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1790096253

Entity Type:

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

Enumeration Date: June 29, 2010

Last Update: December 02, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1605 N Cedar Crest Blvd Ste 110b

Allentown, PA 181042351

Phone: 6109731410

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.