Patel, Niral

Patel, Niral was paid $37K by Medicaid between Jan 2021 and Sep 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoPATEL, NIRAL
CRYSTAL LAKE, IL 60014

33aNPI1083845945assigned 07/27/2009

33bProvider typeEmergency Medicine Physician

28Total paid$37K

24GClaims551

24DCodes billed6

24AFirst – last monthJan 2021 – Sep 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#1,556 of 1,980

Median peer was paid$150K

This provider vs. median0.2×

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
2021	226	$12K
2022	53	$4K
2023	223	$17K
2024incomplete	49	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	65%	338	311	$24K
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	27%	129	126	$10K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	2.8%	20	13	$1K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	2.1%	17	12	$778.60
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.6%	12	12	$574.20
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.1%	35	35	$413.44

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.