Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Elmhurst › NPI 1043519697
Physician

Patel, Kevin

Patel, Kevin was paid $589K by Medicaid between Mar 2018 and Dec 2024, across 8 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 42% of everything it billed.

33Billing provider infoPATEL, KEVIN
ELMHURST, IL 60126
33aNPI1043519697assigned 03/22/2011
28Total paid$589K
24GClaims5,995
24DCodes billed8
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers

Next to other Retina Specialist (Ophthalmology) Physician providers in Illinois

Rank by total paid#6 of 25
Median peer was paid$128K
This provider vs. median4.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201873$755.26
2019376$16K
2020846$47K
20211,236$101K
20221,342$119K
20231,178$184K
2024incomplete944$121K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
67028 Intravitreal injection of a pharmacologic agent 42% 1,498 1,257 $249K
J0178 Injection, aflibercept, 1 mg 37% 214 200 $221K
92134 7.6% 2,672 2,368 $45K
J9035 Injection, bevacizumab, 10 mg 6.0% 481 375 $35K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5.6% 968 896 $33K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 128 123 $5K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 14 14 $889.20
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 20 19 $186.40

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.