Patel, Amitkumar

Patel, Amitkumar was paid $578K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 49% of everything it billed.

33Billing provider infoPATEL, AMITKUMAR
MOLINE, IL 61265

33aNPI1598059826assigned 06/03/2011

33bProvider typeGastroenterology Physician

28Total paid$578K

24GClaims4,083

24DCodes billed11

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Gastroenterology Physician providers in Illinois

Rank by total paid#17 of 370

Median peer was paid$16K

This provider vs. median36×

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	484	$44K
2019	692	$88K
2020	754	$111K
2021	553	$108K
2022	312	$64K
2023	537	$84K
2024incomplete	751	$79K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	49%	1,659	1,542	$281K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	37%	905	832	$212K
45380	Colonoscopy, flexible; with biopsy, single or multiple	6.1%	324	300	$35K
88305	Level IV - Surgical pathology, gross and microscopic examination	3.0%	365	325	$17K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.9%	495	481	$11K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	1.6%	91	91	$9K
43251		<1%	28	19	$5K
88312		<1%	126	126	$4K
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	<1%	44	27	$3K
88313		<1%	31	29	$670.31
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%	15	15	$433.04

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.