Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Fox River Grove › NPI 1518311422
Physician

Sagarwala, Salman

Sagarwala, Salman was paid $94K by Medicaid between Jan 2023 and Nov 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoSAGARWALA, SALMAN
FOX RIVER GROVE, IL 60021
33aNPI1518311422assigned 04/17/2016
28Total paid$94K
24GClaims1,556
24DCodes billed4
24AFirst – last monthJan 2023 – Nov 2024
Compared with peers

Next to other Interventional Pain Medicine Physician providers in Illinois

Rank by total paid#6 of 39
Median peer was paid$8K
This provider vs. median11×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2023470$24K
2024incomplete1,086$70K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 52% 894 817 $49K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 36% 463 418 $34K
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 12% 153 140 $11K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 46 44 $309.02

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.