Matiwala, Sunil

Matiwala, Sunil was paid $109K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.

33Billing provider infoMATIWALA, SUNIL
BLOOMINGDALE, IL 60108

33aNPI1174555601assigned 07/07/2006

33bProvider typeInternal Medicine Physician

28Total paid$109K

24GClaims2,212

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#716 of 3,722

Median peer was paid$26K

This provider vs. median4.2×

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
2018	302	$11K
2019	294	$13K
2020	309	$14K
2021	322	$15K
2022	291	$15K
2023	371	$19K
2024incomplete	323	$22K

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	77%	1,648	1,393	$84K
99223	Prolong inpt eval add15 m	10%	139	126	$11K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	6.5%	122	105	$7K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.7%	104	50	$3K
99239	Hospital discharge day management, more than 30 minutes	1.8%	46	40	$2K
83036	Hemoglobin; glycosylated (A1C)	<1%	104	92	$533.45
90756		<1%	21	12	$441.10
99238	Hospital discharge day management, 30 minutes or less	<1%	28	28	$432.31

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.