Physician
Patel, Sejal
Patel, Sejal was paid $89K by Medicaid between Apr 2018 and Nov 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 41% of everything it billed.
33Billing provider infoPATEL, SEJAL
HOFFMAN ESTATES, IL 60169
HOFFMAN ESTATES, IL 60169
33aNPI1396785291assigned 06/08/2006
33bProvider typeNephrology Physician
28Total paid$89K
24GClaims3,141
24DCodes billed11
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in Illinois
Rank by total paid#133 of 327
Median peer was paid$68K
This provider vs. median1.3×
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 | 79 | $374.05 | |
| 2019 | 313 | $3K | |
| 2020 | 1,027 | $35K | |
| 2021 | 381 | $12K | |
| 2022 | 648 | $17K | |
| 2023 | 407 | $13K | |
| 2024incomplete | 286 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 41% | 1,831 | 501 | $36K |
| 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 | 27% | 607 | 576 | $24K |
| 90962 | 18% | 145 | 139 | $16K | |
| 99222 | Initial hospital care, per day, moderate complexity | 7.1% | 183 | 160 | $6K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 5.5% | 62 | 58 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 41 | 41 | $587.77 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 25 | 12 | $550.46 |
| 36902 | <1% | 12 | 12 | $136.03 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 194 | 183 | $92.68 |
| 99152 | <1% | 13 | 13 | $7.49 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 28 | 26 | $1.83 |
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.