Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Carbondale › NPI 1598170458
Physician

Shah, Sonal

Shah, Sonal was paid $30K by Medicaid between Mar 2018 and Jun 2024, across 4 billing codes. Its largest line is 99239, Hospital discharge day management, more than 30 minutes — 38% of everything it billed.

33Billing provider infoSHAH, SONAL
CARBONDALE, IL 62901
33aNPI1598170458assigned 06/30/2014
28Total paid$30K
24GClaims1,214
24DCodes billed4
24AFirst – last monthMar 2018 – Jun 2024
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,653 of 2,947
Median peer was paid$43K
This provider vs. median0.7×

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
2018163$3K
2019338$5K
2020290$6K
202165$2K
2022126$5K
2023191$9K
2024incomplete41$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99239 Hospital discharge day management, more than 30 minutes 38% 388 365 $12K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 32% 342 195 $10K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 26% 471 226 $8K
99223 Prolong inpt eval add15 m 4.0% 13 13 $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.