Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Schaumburg › NPI 1093004459
Physician

Patel, Raj

Patel, Raj was paid $620K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoPATEL, RAJ
SCHAUMBURG, IL 60173
33aNPI1093004459assigned 04/06/2011
28Total paid$620K
24GClaims26,569
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#104 of 3,722
Median peer was paid$26K
This provider vs. median24×

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$10K$20K$30K2018201920202021202220232024
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
2018241$9K
2019669$23K
20201,580$59K
20215,892$129K
20227,231$153K
20237,603$151K
2024incomplete3,353$96K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 48% 4,454 3,531 $295K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 2,438 2,078 $107K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.7% 969 279 $29K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4.4% 1,628 1,269 $27K
84443 Thyroid stimulating hormone (TSH) 4.3% 1,731 1,425 $27K
80053 Comprehensive metabolic panel 2.8% 1,842 1,528 $18K
82607 2.8% 1,510 1,198 $17K
80061 Lipid panel 2.3% 1,986 1,552 $14K
83036 Hemoglobin; glycosylated (A1C) 2.0% 2,057 1,609 $12K
99223 Prolong inpt eval add15 m 1.7% 189 153 $10K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.6% 1,823 1,501 $10K
93000 1.5% 512 428 $9K
26 more codes
90756 1.4% 329 $9K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 46 $6K
99239 Hospital discharge day management, more than 30 minutes <1% 156 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 50 $4K
81001 <1% 1,442 $4K
84439 <1% 394 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 53 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 282 $2K
82043 <1% 616 $2K
80050 General health panel <1% 133 $2K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 375 $591.00
82570 <1% 133 $560.35
84153 <1% 18 $217.08
84154 <1% 18 $217.08
86038 <1% 15 $191.53
86140 <1% 46 $191.42
36415 Collection of venous blood by venipuncture <1% 1,100 $167.30
87088 <1% 19 $156.27
81000 <1% 62 $147.87
86235 <1% 15 $144.47
86225 <1% 15 $143.80
86200 <1% 13 $121.42
86063 <1% 15 $91.52
85652 <1% 34 $79.52
86430 <1% 15 $75.38
81003 <1% 36 $67.69

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.