Vaghani, Sapna

Vaghani, Sapna was paid $190K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.

33Billing provider infoVAGHANI, SAPNA
CREST HILL, IL 60403

33aNPI1053502005assigned 08/06/2007

33bProvider typeDermatology Physician

28Total paid$190K

24GClaims4,182

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Dermatology Physician providers in Illinois

Rank by total paid#21 of 212

Median peer was paid$19K

This provider vs. median9.8×

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

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

Year	Claims	Paid
2018	790	$30K
2019	838	$35K
2020	1,035	$45K
2021	549	$28K
2022	490	$26K
2023	282	$14K
2024incomplete	198	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	40%	2,020	1,783	$77K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	39%	1,266	1,118	$74K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	15%	728	636	$29K
17110		3.1%	83	70	$6K
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	1.6%	41	40	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	44	40	$1K

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.