Patel, Prayag

Patel, Prayag was paid $16K by Medicaid between Jan 2018 and Feb 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.

33Billing provider infoPATEL, PRAYAG
MACOMB, IL 61455

33aNPI1295175487assigned 07/02/2013

33bProvider typeFamily Medicine Physician

28Total paid$16K

24GClaims575

24DCodes billed4

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,948 of 2,947

Median peer was paid$43K

This provider vs. median0.4×

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	249	$6K
2019	194	$6K
2021	70	$2K
2022	31	$224.90
2023	17	$1K
2024incomplete	14	$393.06

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	71%	409	386	$11K
99223	Prolong inpt eval add15 m	17%	61	52	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	7.6%	87	38	$1K
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	5.2%	18	16	$839.38

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.