Doshi, Sejal

Doshi, Sejal was paid $39K by Medicaid between Oct 2023 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.

33Billing provider infoDOSHI, SEJAL
CHICAGO, IL 60612

33aNPI1619363363assigned 04/09/2015

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$39K

24GClaims591

24DCodes billed6

24AFirst – last monthOct 2023 – Dec 2024

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Illinois

Rank by total paid#66 of 193

Median peer was paid$18K

This provider vs. median2.2×

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
2023	114	$7K
2024incomplete	477	$32K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	66%	363	346	$26K
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	20%	109	107	$8K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	6.6%	40	13	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.4%	42	15	$2K
99222	Initial hospital care, per day, moderate complexity	2.3%	13	13	$875.86
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	24	24	$188.17

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.