Patel, Dharmesh

Patel, Dharmesh was paid $208K by Medicaid between Jan 2018 and Sep 2024, across 10 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 46% of everything it billed.

33Billing provider infoPATEL, DHARMESH
SOUTH HOLLAND, IL 60473

33aNPI1619039328assigned 12/16/2006

33bProvider typeFamily Medicine Physician

28Total paid$208K

24GClaims5,190

24DCodes billed10

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#548 of 2,947

Median peer was paid$43K

This provider vs. median4.9×

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	2,267	$94K
2019	260	$7K
2020	916	$32K
2021	517	$21K
2022	372	$14K
2023	448	$18K
2024incomplete	410	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	46%	2,568	776	$96K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32%	1,630	1,399	$67K
99239	Hospital discharge day management, more than 30 minutes	5.1%	256	226	$11K
99223	Prolong inpt eval add15 m	5.1%	166	144	$11K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	4.8%	115	111	$10K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	4.6%	113	110	$10K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.8%	304	133	$4K
99253		<1%	12	12	$557.40
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	12	12	$518.70
99238	Hospital discharge day management, 30 minutes or less	<1%	14	14	$237.20

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.