Physician
Patel, Hetalben
Patel, Hetalben was paid $302K by Medicaid between Jan 2018 and Oct 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoPATEL, HETALBEN
PALATINE, IL 60074
PALATINE, IL 60074
33aNPI1295168896assigned 08/19/2013
33bProvider typePediatrics Physician
28Total paid$302K
24GClaims10,875
24DCodes billed34
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#419 of 1,805
Median peer was paid$55K
This provider vs. median5.5×
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 | 166 | $181.80 | |
| 2019 | 618 | $2K | |
| 2020 | 1,738 | $30K | |
| 2021 | 822 | $16K | |
| 2022 | 2,772 | $86K | |
| 2023 | 3,208 | $111K | |
| 2024incomplete | 1,551 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 1,522 | 1,225 | $75K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 1,220 | 969 | $57K |
| 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 | 14% | 528 | 448 | $42K |
| 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 | 8.2% | 301 | 266 | $25K |
| 99384 | 6.9% | 207 | 158 | $21K | |
| 87428 | 4.6% | 221 | 194 | $14K | |
| 99000 | 3.8% | 756 | 513 | $12K | |
| 94760 | 3.4% | 3,291 | 2,585 | $10K | |
| 99383 | 2.6% | 86 | 64 | $8K | |
| 87430 | 2.2% | 432 | 372 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 75 | 60 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 55 | 47 | $4K |
22 more codes
| 99173 | 1.4% | 555 | $4K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.1% | 24 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 45 | $2K |
| 96127 | <1% | 119 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 34 | $2K |
| 90734 | <1% | 123 | $1K | |
| 90619 | <1% | 68 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 67 | $1K |
| 90715 | <1% | 62 | $986.58 | |
| 87400 | <1% | 50 | $771.68 | |
| 90713 | <1% | 45 | $693.76 | |
| 90651 | <1% | 29 | $472.90 | |
| 90716 | <1% | 30 | $459.35 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 35 | $439.39 |
| 90707 | <1% | 27 | $413.37 | |
| 90700 | <1% | 24 | $364.46 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 605 | $346.50 |
| 90686 | <1% | 29 | $243.33 | |
| 90649 | <1% | 20 | $128.00 | |
| 90688 | <1% | 17 | $112.64 | |
| 99070 | <1% | 47 | $100.00 | |
| 90461 | 0% | 126 | $0.00 |
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.