Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Patel, Kalpesh

Patel, Kalpesh was paid $38K by Medicaid between Mar 2018 and Oct 2024, across 5 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 56% of everything it billed.

33Billing provider infoPATEL, KALPESH
PLAINFIELD, IL 60585
33aNPI1154386506assigned 04/19/2006
28Total paid$38K
24GClaims2,017
24DCodes billed5
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#1,571 of 3,722
Median peer was paid$26K
This provider vs. median1.5×

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$2.0K$4.0K2018201920202021202220232024
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
201817$187.20
2019175$2K
2020155$5K
2021115$1K
2022457$4K
2023654$12K
2024incomplete444$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99309 Subsequent nursing facility care, per day, low to moderate complexity 56% 1,214 633 $21K
99349 18% 292 209 $7K
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 17% 99 89 $6K
99308 Subsequent nursing facility care, per day, straightforward 6.4% 368 303 $2K
99336 2.7% 44 37 $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.