Physician
Agarwal, Mahesh
Agarwal, Mahesh was paid $10K by Medicaid between Jan 2018 and Jun 2020, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoAGARWAL, MAHESH
GURNEE, IL 60031
GURNEE, IL 60031
33aNPI1730238874assigned 01/09/2007
33bProvider typePulmonary Disease Physician
28Total paid$10K
24GClaims602
24DCodes billed3
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Pulmonary Disease Physician providers in Illinois
Rank by total paid#162 of 212
Median peer was paid$51K
This provider vs. median0.2×
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 | 209 | $2K | |
| 2019 | 271 | $5K | |
| 2020 | 122 | $3K |
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 | 65% | 311 | 277 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 278 | 264 | $3K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 13 | 13 | $77.54 |
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.