Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Patel, Nilesh

Patel, Nilesh was paid $263K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 75% of everything it billed.

33Billing provider infoPATEL, NILESH
ELGIN, IL 60120
33aNPI1942490396assigned 07/31/2007
28Total paid$263K
24GClaims4,353
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#546 of 1,980
Median peer was paid$150K
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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018919$37K
2019898$38K
2020840$47K
2021390$31K
2022457$39K
2023467$38K
2024incomplete382$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 75% 2,695 2,515 $197K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 16% 865 795 $41K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.5% 793 704 $25K

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.