Active NPI 1871512285 Individual Practitioner Male Practitioner

Dr. Sanjay B Patel , MD

Internal Medicine • Grapevine, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sanjay Patel, MD is a certified Internal Medicine practicing in Grapevine, TX. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Patel delivers high-quality medical care to the local community at 1280 S MAIN ST STE 106.

Dr. Patel is affiliated with Healthtexas Provider Network and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1280 S Main St Ste 106

Grapevine, TX 760517509

Telephone 8174211517

Fax 8174164659

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Grapevine, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +0.8 yrs vs City Avg

City Avg: 29.2 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

29 Specialists

Practicing in Grapevine, TX (9538 Statewide)

Telehealth Adoption Rate

27.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (30 Years) 30 Yrs

Grapevine Specialty Average (29.2 Years) 29.2 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	382	169	$186.19	$76.06
99239 Hospital discharge day management, more than 30 minutes	209	208	$275.10	$110.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	182	112	$267.68	$112.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$517.48	$164.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$352.24	$126.56

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	660	222	$186.19	$75.40
99239 Hospital discharge day management, more than 30 minutes	187	184	$275.10	$110.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$352.24	$127.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	14	$267.68	$116.61

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	620	237	$139.80	$69.26
99239 Hospital discharge day management, more than 30 minutes	153	149	$224.32	$101.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	66	$262.98	$129.15
99220 Hospital observation care, typically 70 minutes	24	24	$372.24	$174.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$331.87	$192.89
99217 Hospital observation care on day of discharge	11	11	$152.63	$70.22

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	477	180	$115.00	$70.82
99239 Hospital discharge day management, more than 30 minutes	97	96	$195.00	$105.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	54	$225.00	$131.53
99220 Hospital observation care, typically 70 minutes	23	22	$315.00	$171.65
99217 Hospital observation care on day of discharge	22	22	$145.00	$69.08
99238 Hospital discharge day management, 30 minutes or less	20	20	$145.00	$68.35

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	677	286	$115.00	$73.31
99239 Hospital discharge day management, more than 30 minutes	171	167	$195.00	$108.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	58	$225.00	$139.52
99217 Hospital observation care on day of discharge	34	33	$145.00	$72.12
99220 Hospital observation care, typically 70 minutes	31	31	$315.00	$187.43
99225 Subsequent observation care, typically 25 minutes per day	15	14	$124.00	$73.38

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	748	278	$112.53	$72.94
99239 Hospital discharge day management, more than 30 minutes	202	199	$195.00	$107.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	135	130	$225.00	$135.65
99220 Hospital observation care, typically 70 minutes	85	85	$315.00	$182.82
99217 Hospital observation care on day of discharge	52	52	$145.00	$73.28
99225 Subsequent observation care, typically 25 minutes per day	26	23	$124.00	$73.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$315.00	$183.51

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	756	300	$110.00	$71.60
99239 Hospital discharge day management, more than 30 minutes	191	181	$195.00	$106.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	122	118	$225.00	$132.63
99220 Hospital observation care, typically 70 minutes	52	52	$315.00	$184.69
99217 Hospital observation care on day of discharge	39	39	$145.00	$72.55
99225 Subsequent observation care, typically 25 minutes per day	27	22	$124.00	$72.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$315.00	$200.90

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	890	362	$110.13	$71.01
99239 Hospital discharge day management, more than 30 minutes	233	227	$195.00	$105.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	158	155	$225.00	$132.63
99220 Hospital observation care, typically 70 minutes	46	46	$315.00	$183.67
99217 Hospital observation care on day of discharge	39	38	$145.00	$72.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$311.40	$193.06
99238 Hospital discharge day management, 30 minutes or less	16	16	$145.00	$71.77

Medical Specialties & State Licenses

CMS Verified: 2022-04-07

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX L2536

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

166334602 (TX)

Medicaid State Provider ID

166334601 (TX)

Hospital & Practice Group Affiliations

Healthtexas Provider Network

5408 Colleyville Blvd, Colleyville, TX 760345833

Phone: 8174989920

Healthtexas Provider Network

1650 W College St, Grapevine, TX 760513565

Phone: 8173883440

Healthtexas Provider Network

4001 Worth St, Dallas, TX 752461608

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Carlton Pittard , MD

General Practice

NPI 1609892769

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 17, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location December 17, 2008

Registered at 1280 S MAIN ST STE 106, GRAPEVINE, TX 760517509 (Tel: 8174211517)

📍

Updated Business Mailing Address December 17, 2008

Registered at 1280 S MAIN ST STE 106, GRAPEVINE, TX 760517509 (Tel: 8174211517)

👤

Provider Name / Credentials Updated December 17, 2008

Recorded as SANJAY PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2008

Internal Medicine (License #L2536 in TX)

🟢

Initial NPI Registration & Enumeration July 18, 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: 1871512285

Entity Type:

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

Enumeration Date: July 18, 2006

Last Update: April 07, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1280 S Main St Ste 106

Grapevine, TX 760517509

Phone: 8174211517

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.