Patel, Rupesh

Patel, Rupesh was paid $946K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoPATEL, RUPESH
PARK RIDGE, IL 60068

33aNPI1568557692assigned 10/04/2006

33bProvider typeMaternal & Fetal Medicine Physician

28Total paid$946K

24GClaims17,333

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Maternal & Fetal Medicine Physician providers in Illinois

Rank by total paid#10 of 70

Median peer was paid$210K

This provider vs. median4.5×

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	2,065	$121K
2019	3,104	$174K
2020	3,458	$203K
2021	3,895	$246K
2022	2,707	$89K
2023	816	$45K
2024incomplete	1,288	$68K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	5,161	3,756	$228K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	24%	3,654	3,133	$226K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	23%	2,915	2,498	$218K
99242		13%	1,925	1,667	$127K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	4.9%	1,034	807	$46K
76820		2.1%	280	179	$20K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.0%	403	380	$19K
76819	Fetal biophysical profile; without non-stress testing	1.6%	343	211	$15K
59025	Fetal non-stress test	1.4%	1,044	648	$13K
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	1.2%	149	125	$11K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	140	111	$7K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	86	82	$6K

5 more codes

99204	Doctor's office visit, new patient (more involved)	<1%	32	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	71	$2K
76827		<1%	33	$2K
76825		<1%	29	$1K
93325		<1%	34	$1K

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.