Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Dekalb › NPI 1558593582
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
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

$0$2.0K$4.0K2018201920202021202220232024
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
2019110$1K
2020404$9K
2021341$11K
2022285$8K
2023587$21K
2024incomplete378$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.