Physician
Patel, Pinalkumar
Patel, Pinalkumar was paid $64K by Medicaid between Aug 2019 and Nov 2024, across 4 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 64% of everything it billed.
33Billing provider infoPATEL, PINALKUMAR
DEKALB, IL 60115
DEKALB, IL 60115
33aNPI1558593582assigned 08/08/2009
33bProvider typeHospitalist Physician
28Total paid$64K
24GClaims2,105
24DCodes billed4
24AFirst – last monthAug 2019 – Nov 2024
Compared with peers
Next to other Hospitalist Physician providers in Illinois
Rank by total paid#109 of 514
Median peer was paid$19K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2019 | 110 | $1K | |
| 2020 | 404 | $9K | |
| 2021 | 341 | $11K | |
| 2022 | 285 | $8K | |
| 2023 | 587 | $21K | |
| 2024incomplete | 378 | $14K |
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 | 64% | 1,566 | 713 | $41K |
| 99222 | Initial hospital care, per day, moderate complexity | 22% | 235 | 232 | $14K |
| 99238 | Hospital discharge day management, 30 minutes or less | 9.9% | 238 | 221 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.5% | 66 | 25 | $3K |
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.