Physician
Patel, Nilam
Patel, Nilam was paid $41K by Medicaid between Aug 2018 and Jan 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoPATEL, NILAM
ST CHARLES, IL 60175
ST CHARLES, IL 60175
33aNPI1104113091assigned 06/30/2011
33bProvider typePediatrics Physician
28Total paid$41K
24GClaims913
24DCodes billed9
24AFirst – last monthAug 2018 – Jan 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#979 of 1,805
Median peer was paid$55K
This provider vs. median0.7×
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 | 261 | $10K | |
| 2019 | 570 | $27K | |
| 2020 | 13 | $605.28 | |
| 2021 | 55 | $2K | |
| 2024incomplete | 14 | $689.08 |
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 | 44% | 450 | 404 | $18K |
| 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 | 40% | 287 | 233 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.9% | 33 | 26 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 26 | 20 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 15 | 15 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.6% | 14 | 14 | $641.20 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 14 | 13 | $494.62 |
| 90651 | 1.2% | 19 | 12 | $493.48 | |
| 90686 | <1% | 55 | 44 | $389.89 |
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.