Shroff, Pranavkumar

Shroff, Pranavkumar was paid $72K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 50% of everything it billed.

33Billing provider infoSHROFF, PRANAVKUMAR
EAST DUNDEE, IL 60118

33aNPI1831330877assigned 03/22/2009

33bProvider typeFamily Medicine Physician

28Total paid$72K

24GClaims6,741

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#1,173 of 2,947

Median peer was paid$43K

This provider vs. median1.7×

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	1,077	$4K
2019	1,433	$7K
2020	1,252	$11K
2021	832	$11K
2022	773	$9K
2023	730	$16K
2024incomplete	644	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	50%	2,439	2,301	$36K
99309	Subsequent nursing facility care, per day, low to moderate complexity	40%	4,032	3,757	$29K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	5.9%	198	61	$4K
99239	Hospital discharge day management, more than 30 minutes	1.3%	30	30	$905.72
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%	16	14	$720.09
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	<1%	13	13	$587.66
99223	Prolong inpt eval add15 m	<1%	13	12	$509.07

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.