Physician
Parekh, Utpal
Parekh, Utpal was paid $807K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 23% of everything it billed.
33Billing provider infoPAREKH, UTPAL
ADDISON, IL 60101
ADDISON, IL 60101
33aNPI1285727669assigned 09/30/2006
33bProvider typeGastroenterology Physician
28Total paid$807K
24GClaims12,386
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in Illinois
Rank by total paid#11 of 370
Median peer was paid$16K
This provider vs. median50×
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 | 1,242 | $55K | |
| 2019 | 2,014 | $105K | |
| 2020 | 2,135 | $114K | |
| 2021 | 1,600 | $96K | |
| 2022 | 1,950 | $146K | |
| 2023 | 1,761 | $155K | |
| 2024incomplete | 1,684 | $136K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 23% | 1,170 | 1,079 | $189K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 4,538 | 4,015 | $159K |
| 45384 | 18% | 699 | 652 | $144K | |
| 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 | 14% | 1,714 | 1,527 | $110K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 6.9% | 450 | 409 | $56K |
| 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 | 6.5% | 1,109 | 998 | $52K |
| 99223 | Prolong inpt eval add15 m | 3.1% | 485 | 443 | $25K |
| 99205 | Prolong outpt/office vis | 2.2% | 216 | 201 | $18K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 929 | 377 | $16K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.5% | 436 | 218 | $12K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.2% | 32 | 25 | $9K |
| 99401 | <1% | 248 | 126 | $7K |
6 more codes
| 43250 | <1% | 41 | $5K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 156 | $2K |
| 91065 | <1% | 83 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $417.06 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 30 | $187.77 |
| 99406 | <1% | 24 | $131.59 |
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.