Physician
Patel, Hemal
Patel, Hemal was paid $93K by Medicaid between Mar 2018 and Oct 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoPATEL, HEMAL
GENEVA, IL 60134
GENEVA, IL 60134
33aNPI1548471600assigned 05/24/2007
33bProvider typeInternal Medicine Physician
28Total paid$93K
24GClaims3,091
24DCodes billed14
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Illinois
Rank by total paid#841 of 3,722
Median peer was paid$26K
This provider vs. median3.6×
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 | 13 | $2K | |
| 2019 | 32 | $2K | |
| 2020 | 1,046 | $22K | |
| 2021 | 395 | $8K | |
| 2022 | 104 | $2K | |
| 2023 | 729 | $27K | |
| 2024incomplete | 772 | $30K |
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 | 21% | 259 | 206 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 347 | 268 | $17K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 352 | 267 | $16K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 12% | 70 | 66 | $11K |
| 99000 | 10% | 670 | 470 | $10K | |
| 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 | 7.1% | 83 | 69 | $7K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 6.8% | 44 | 38 | $6K |
| 94760 | 3.9% | 1,068 | 714 | $4K | |
| 99243 | 1.3% | 16 | 15 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 87 | 72 | $1K |
| 0011A | <1% | 15 | 15 | $632.10 | |
| 87430 | <1% | 27 | 27 | $389.36 |
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.