Patel, Sejalben

Patel, Sejalben was paid $427K by Medicaid between Jan 2018 and Jun 2022, across 16 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 49% of everything it billed.

33Billing provider infoPATEL, SEJALBEN
CHICAGO, IL 60646

33aNPI1629528443assigned 10/04/2016

33bProvider typePrimary Care Nurse Practitioner

28Total paid$427K

24GClaims11,313

24DCodes billed16

24AFirst – last monthJan 2018 – Jun 2022

Compared with peers

Next to other Primary Care Nurse Practitioner providers in Illinois

Rank by total paid#2 of 113

Median peer was paid$24K

This provider vs. median18×

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	124	$1K
2020	5,523	$167K
2021	4,883	$196K
2022	783	$62K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	49%	2,077	1,723	$211K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	29%	3,641	2,877	$122K
0012A		4.1%	415	406	$17K
0013A		3.7%	388	383	$16K
0011A		3.2%	568	547	$14K
0003A		3.2%	372	315	$14K
0001A		2.7%	292	277	$12K
0002A		2.2%	227	217	$9K
99309	Subsequent nursing facility care, per day, low to moderate complexity	1.4%	238	183	$6K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	67	38	$3K
0031A		<1%	51	51	$2K
99308	Subsequent nursing facility care, per day, straightforward	<1%	107	91	$1K

4 more codes

G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	2,200	$13.35
91301		<1%	560	$3.16
91303		<1%	58	$0.91
91300		<1%	52	$0.41

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.