Kalawadia, Sejal

Kalawadia, Sejal was paid $204K by Medicaid between Apr 2018 and Nov 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 60% of everything it billed.

33Billing provider infoKALAWADIA, SEJAL
CRESTWOOD, IL 60418

33aNPI1194722108assigned 07/05/2005

33bProvider typeNephrology Physician

28Total paid$204K

24GClaims6,549

24DCodes billed7

24AFirst – last monthApr 2018 – Nov 2024

Compared with peers

Next to other Nephrology Physician providers in Illinois

Rank by total paid#57 of 327

Median peer was paid$68K

This provider vs. median3.0×

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	101	$462.65
2019	803	$16K
2020	1,705	$59K
2021	1,470	$48K
2022	1,303	$43K
2023	634	$19K
2024incomplete	533	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	60%	5,186	1,938	$123K
99223	Prolong inpt eval add15 m	19%	557	499	$39K
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	12%	361	348	$24K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	7.3%	393	131	$15K
90966		1.1%	16	16	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	24	24	$993.89
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	<1%	12	12	$469.01

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.