Sonal V Patel , PT
Physical Therapist โข Mount Prospect, IL
1260 S Elmhurst Rd, Apt 212
Mount Prospect, IL 600565271
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on September 24, 2012; this date does not establish years in practice.
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Published CMS data list 63 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 97112 โ Therapy procedure to re-educate brain-to-nerve-to-muscle function: 36 service units.
- 97116 โ Therapy procedure for walking training: 27 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Medicare Part B services went from 272 in 2021 to 63 in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2022.
Practice Location & Contact Primary Location
1260 S Elmhurst Rd
Apt 212
Mount Prospect, IL 600565271
What Public CMS Data Show
Physical Therapist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $1,526 in 2022
The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022.
Paid by Medicare
About $1,179 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022.
NPI first issued
2012
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Sonal Patel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Mount Prospect and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Sonal Patel are from 2022.
32 active clinicians are listed under Physical Therapist with a practice address in Mount Prospect, IL (12,059 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Mount Prospect
0% of these 32 clinicians have the CMS telehealth indicator.
50% of these 32 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 77% from 272 in 2021 to 63 in 2022.
- 2021: 272
- 2022: 63
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Medicare-allowed amount
Medicare-allowed amount decreased 79% from $7,442 in 2021 to $1,526 in 2022.
- 2021: $7,442
- 2022: $1,526
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Paid by Medicare
Paid by Medicare decreased 80% from $5,953 in 2021 to $1,179 in 2022.
- 2021: $5,953
- 2022: $1,179
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2021โ2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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97112
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
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36 | 12 | $38.00 | $26.18 |
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97116
Therapy procedure for walking training, each 15 minutes
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27 | 11 | $32.00 | $21.62 |
Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 225100000X
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
I20180507001793
IL
8527322197
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 500 OLD OAK CIR, ALGONQUIN, IL 601023126 (Tel: 2245429977)
Recorded as SONAL PATEL, PT
NPI status registered as active in NPPES database
Registered at 1260 S ELMHURST RD, APT 212, MOUNT PROSPECT, IL 600565271 (Tel: 2245429977)
Registered at 1260 S ELMHURST RD, APT 212, MOUNT PROSPECT, IL 600565271 (Tel: 2245429977)
Recorded as SONALBEN PATEL, PT
Physical Therapist (license number reported to NPPES: IL 070.018941)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physical Therapists in Mount Prospect
- Karolina Roman, PT
- Andrew Sobarnia
- Denise Gruensfelder, PT
- Heather Elliott-Smith, PT
- Kara Kinnear
- Vidhi Jain
Mailing Address
500 Old Oak Cir
Algonquin, IL 601023126
Phone: 2245429977