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

Koul, Sunita

Koul, Sunita was paid $137K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 33% of everything it billed.

33Billing provider infoKOUL, SUNITA
NAPERVILLE, IL 60540
33aNPI1003127895assigned 06/25/2010
33bProvider typeHospitalist Physician
28Total paid$137K
24GClaims3,795
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Hospitalist Physician providers in Illinois

Rank by total paid#37 of 514
Median peer was paid$19K
This provider vs. median7.2×

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

$0$5.0K$10K2018201920202021202220232024
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
2018698$17K
2019930$26K
20201,149$39K
2021477$20K
2023127$10K
2024incomplete414$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 33% 735 624 $45K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 22% 1,006 427 $30K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 18% 1,065 527 $24K
99239 Hospital discharge day management, more than 30 minutes 11% 470 420 $16K
99222 Initial hospital care, per day, moderate complexity 10.0% 345 330 $14K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3.3% 97 67 $5K
99221 2.1% 63 35 $3K
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% 14 14 $754.26

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.