Pethkar, Sanjay

Pethkar, Sanjay was paid $290K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoPETHKAR, SANJAY
PLAINFIELD, IL 60585

33aNPI1134181829assigned 04/06/2006

33bProvider typeInternal Medicine Physician

28Total paid$290K

24GClaims6,430

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#248 of 3,722

Median peer was paid$26K

This provider vs. median11×

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	581	$23K
2019	742	$35K
2020	1,193	$54K
2021	1,132	$49K
2022	823	$39K
2023	944	$40K
2024incomplete	1,015	$50K

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	52%	2,647	2,256	$150K
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%	2,643	2,203	$116K
99490	Ccm add 20min	2.7%	528	501	$8K
0012A		1.6%	118	113	$5K
0011A		1.3%	129	121	$4K
96127		1.3%	263	231	$4K
0013A		<1%	44	38	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	12	12	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	29	26	$650.75
90686		<1%	17	13	$133.16

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.