Patel, Sanjay

Patel, Sanjay was paid $118K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoPATEL, SANJAY
BLOOMINGDALE, IL 60108

33aNPI1235178831assigned 06/06/2006

33bProvider typeInternal Medicine Physician

28Total paid$118K

24GClaims6,421

24DCodes billed15

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Illinois

Rank by total paid#654 of 3,722

Median peer was paid$26K

This provider vs. median4.6×

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	739	$12K
2019	1,000	$11K
2020	1,103	$12K
2021	679	$11K
2022	692	$13K
2023	1,353	$38K
2024incomplete	855	$21K

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	33%	1,583	1,537	$39K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	1,970	1,864	$27K
99490	Ccm add 20min	19%	1,914	1,914	$23K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.9%	87	80	$7K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	5.7%	169	152	$7K
99000		5.2%	180	164	$6K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	3.1%	196	116	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.2%	59	58	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.1%	83	77	$1K
99205	Prolong outpt/office vis	1.0%	13	13	$1K
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	<1%	46	46	$880.64
90688		<1%	19	14	$169.12

3 more codes

99072		<1%	73	$117.50
99441		<1%	16	$75.09
G2058	Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).	<1%	13	$71.48

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.