Physician
Shah, Sejal
Shah, Sejal was paid $135K by Medicaid between Mar 2018 and Sep 2024, across 8 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 61% of everything it billed.
33Billing provider infoSHAH, SEJAL
OAK PARK, IL 60304
OAK PARK, IL 60304
33aNPI1649201039assigned 07/05/2006
33bProvider typeInternal Medicine Physician
28Total paid$135K
24GClaims5,735
24DCodes billed8
24AFirst – last monthMar 2018 – Sep 2024
Compared with peers
Next to other Internal Medicine Physician providers in Illinois
Rank by total paid#563 of 3,722
Median peer was paid$26K
This provider vs. median5.2×
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 | |
|---|---|---|---|
| 2018 | 526 | $8K | |
| 2019 | 665 | $16K | |
| 2020 | 1,540 | $28K | |
| 2021 | 1,350 | $40K | |
| 2022 | 1,187 | $32K | |
| 2023 | 344 | $11K | |
| 2024incomplete | 123 | $835.65 |
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 | 61% | 2,527 | 909 | $82K |
| 99223 | Prolong inpt eval add15 m | 16% | 340 | 292 | $22K |
| 93793 | 7.4% | 1,547 | 1,318 | $10K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 6.8% | 234 | 205 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4.0% | 724 | 556 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 254 | 165 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 51 | 46 | $1K |
| 85610 | <1% | 58 | 44 | $110.78 |
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.