Physician
Nagpal, Rajeev
Nagpal, Rajeev was paid $887K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoNAGPAL, RAJEEV
OAK LAWN, IL 60453
OAK LAWN, IL 60453
33aNPI1396731329assigned 09/26/2005
33bProvider typePediatric Gastroenterology Physician
28Total paid$887K
24GClaims10,431
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Gastroenterology Physician providers in Illinois
Rank by total paid#1 of 45
Median peer was paid$57K
This provider vs. median15×
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 | 818 | $76K | |
| 2019 | 1,026 | $104K | |
| 2020 | 1,214 | $85K | |
| 2021 | 1,393 | $114K | |
| 2022 | 1,357 | $121K | |
| 2023 | 2,147 | $181K | |
| 2024incomplete | 2,476 | $206K |
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 | 39% | 5,652 | 4,817 | $345K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 25% | 978 | 902 | $221K |
| 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 | 22% | 2,412 | 2,293 | $194K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 11% | 716 | 650 | $95K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 525 | 481 | $22K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 123 | 113 | $7K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 12 | 12 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 13 | $608.85 |
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.