Patodia, Nirmal

Patodia, Nirmal was paid $16K by Medicaid between Jan 2018 and Sep 2022, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoPATODIA, NIRMAL
MELROSE PARK, IL 60160

33aNPI1215968854assigned 07/05/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$16K

24GClaims2,678

24DCodes billed3

24AFirst – last monthJan 2018 – Sep 2022

Compared with peers

Next to other Cardiovascular Disease Physician providers in Illinois

Rank by total paid#448 of 678

Median peer was paid$36K

This provider vs. median0.5×

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

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	520	$2K
2019	559	$2K
2020	645	$4K
2021	615	$5K
2022	339	$3K

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	72%	2,133	1,416	$12K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	23%	334	297	$4K
93000		5.4%	211	199	$888.03

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.