Active NPI 1427049824 Individual Practitioner Male Practitioner

Dr. Maulikkumar B Patel , MD

Internal Medicine • Lancaster, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Maulikkumar Patel, MD is a certified Internal Medicine practicing in Lancaster, PA. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Patel delivers high-quality medical care to the local community at 540 N DUKE ST.

Dr. Patel is affiliated with Pulmonary Associates Of Lancaster, Ltd and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

540 N Duke St
Suite 244

Lancaster, PA 176022374

Telephone 7175444930

Fax 7175444964

Associated Practice Facility / Clinic

🏢 Lancaster General Hospital Facility NPI 1154418358

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lancaster, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +9.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

93 Specialists

Practicing in Lancaster, PA (7609 Statewide)

Telehealth Adoption Rate

16.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

57.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (31 Years) 31 Yrs

Lancaster Specialty Average (22.0 Years) 22.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	314	179	$144.00	$74.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	152	$237.00	$121.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	110	89	$207.00	$112.31
99291 Critical care, first 30-74 minutes	72	51	$444.00	$201.87
95800 Sleep study including heart rate, breathing, and sleep time	64	64	$400.00	$126.17
99213 Established patient office or other outpatient visit, typically 15 minutes	47	45	$139.00	$85.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	29	$300.00	$170.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$425.00	$158.34
32555 Aspiration of fluid from chest cavity using imaging guidance	23	18	$450.00	$102.51
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	18	16	$25.00	$15.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	334	197	$144.00	$75.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	262	196	$209.52	$120.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	165	123	$207.00	$113.74
99291 Critical care, first 30-74 minutes	160	80	$444.00	$205.09
95800 Sleep study including heart rate, breathing, and sleep time	78	76	$400.00	$140.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$382.50	$155.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	29	$257.66	$171.44
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$125.79	$86.31
32555 Aspiration of fluid from chest cavity using imaging guidance	24	21	$450.00	$104.78

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	244	182	$157.00	$123.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	236	148	$144.00	$68.58
99291 Critical care, first 30-74 minutes	130	72	$444.00	$209.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	128	89	$207.00	$99.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$323.00	$160.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	68	51	$222.00	$175.50
99213 Established patient office or other outpatient visit, typically 15 minutes	34	33	$102.00	$88.17
95800 Sleep study including heart rate, breathing, and sleep time	31	31	$492.74	$154.82
32555 Aspiration of fluid from chest cavity using imaging guidance	24	19	$450.00	$105.51
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	15	15	$253.00	$121.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	251	174	$144.00	$70.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	236	168	$157.00	$127.41
99291 Critical care, first 30-74 minutes	174	86	$444.00	$214.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	138	104	$207.00	$100.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	40	$222.00	$179.79
99213 Established patient office or other outpatient visit, typically 15 minutes	47	44	$102.00	$88.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$323.00	$162.68
32555 Aspiration of fluid from chest cavity using imaging guidance	30	25	$450.00	$111.37
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	29	29	$402.34	$111.99

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	262	175	$155.02	$106.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	229	140	$144.00	$72.72
99291 Critical care, first 30-74 minutes	175	82	$442.35	$217.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	102	77	$207.00	$103.43
99213 Established patient office or other outpatient visit, typically 15 minutes	49	49	$101.02	$73.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$319.82	$163.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	27	$222.00	$145.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$274.00	$138.72
32555 Aspiration of fluid from chest cavity using imaging guidance	25	21	$450.00	$115.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$402.00	$203.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	15	$78.00	$39.56

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	312	210	$120.00	$105.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	284	178	$90.00	$72.23
99291 Critical care, first 30-74 minutes	126	75	$300.00	$222.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	78	64	$120.00	$100.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	45	$160.00	$142.78
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	47	47	$200.00	$126.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$180.00	$161.59
99213 Established patient office or other outpatient visit, typically 15 minutes	39	38	$90.00	$71.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$195.00	$136.08
95810 Sleep monitoring of patient (6 years or older) in sleep lab	27	27	$200.00	$121.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$230.00	$200.83
32555 Aspiration of fluid from chest cavity using imaging guidance	19	14	$450.00	$113.77
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$220.00	$203.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	317	205	$90.00	$70.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	317	210	$120.00	$104.24
99291 Critical care, first 30-74 minutes	186	109	$300.00	$219.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99	81	$121.82	$99.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$180.00	$160.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	41	$160.00	$139.66
99213 Established patient office or other outpatient visit, typically 15 minutes	47	45	$90.00	$70.94
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	40	40	$370.00	$125.82
32555 Aspiration of fluid from chest cavity using imaging guidance	37	33	$450.00	$112.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	33	$195.00	$134.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$230.00	$200.14
95810 Sleep monitoring of patient (6 years or older) in sleep lab	23	23	$370.00	$119.76
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$220.00	$202.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	15	$70.00	$38.73
31645 Aspiration of lung secretions from lung airways using an endoscope	13	11	$425.00	$147.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	311	199	$90.00	$70.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	307	217	$120.00	$102.98
99291 Critical care, first 30-74 minutes	180	101	$300.00	$219.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	95	70	$120.00	$102.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	53	$160.00	$139.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$180.91	$156.81
99213 Established patient office or other outpatient visit, typically 15 minutes	52	52	$90.00	$70.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	45	$195.00	$134.29
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	36	36	$370.00	$125.10
95810 Sleep monitoring of patient (6 years or older) in sleep lab	28	28	$370.00	$120.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$230.00	$198.85
32555 Aspiration of fluid from chest cavity using imaging guidance	22	19	$450.00	$112.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	18	$70.00	$36.72

Medical Specialties & State Licenses

CMS Verified: 2024-03-15

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101238131

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.

Internal Medicine - Pulmonary Disease

NUCC Taxonomy Code: 207RP1001X

State License PA MD430235

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

010198747 (VA)

Medicaid State Provider ID

1023303670001 (PA)

Hospital & Practice Group Affiliations

Pulmonary Associates Of Lancaster, Ltd

540 N Duke St, Lancaster, PA 176022374

Phone: 7178269781

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Keith Beaulieu , MD

Internal Medicine - Pulmonary Disease

NPI 1043474364

Doctor of Medicine (M.D.)

Dr. Craig Horvat , MD

Internal Medicine - Pulmonary Disease

NPI 1073565941

Doctor of Medicine (M.D.)

Dr. Yaroslav Lando , MD

Internal Medicine - Pulmonary Disease

NPI 1134170418

Doctor of Medicine (M.D.)

Jennifer Dougherty

Physician Assistant - Medical

NPI 1265629968

Dr. John Eshleman , MD

Internal Medicine - Pulmonary Disease

NPI 1346292646

Doctor of Medicine (M.D.)

Dr. Gregory Rossini , MD

Specialist

NPI 1477505709

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

✅

NPI Profile Active January 14, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 14, 2010

Registered at 540 N DUKE ST, SUITE 244, LANCASTER, PA 176022374 (Tel: 7175444930)

📍

Updated Business Mailing Address January 14, 2010

Registered at 540 N DUKE ST, SUITE 244, LANCASTER, PA 176022374 (Tel: 7175444930)

👤

Provider Name / Credentials Updated January 14, 2010

Recorded as MAULIKKUMAR PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2010

Internal Medicine (License #0101238131 in VA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2010

Internal Medicine (License #MD430235 in PA)

🟢

Initial NPI Registration & Enumeration November 03, 2005

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: 1427049824

Entity Type:

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

Enumeration Date: November 03, 2005

Last Update: March 15, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

540 N Duke St, Suite 244

Lancaster, PA 176022374

Phone: 7175444930

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.