Jain, Sumesh

Jain, Sumesh was paid $297K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 52% of everything it billed.

33Billing provider infoJAIN, SUMESH
SPRINGFIELD, IL 62781

33aNPI1043507999assigned 06/29/2011

33bProvider typeEmergency Medicine Physician

28Total paid$297K

24GClaims5,606

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Illinois

Rank by total paid#447 of 1,980

Median peer was paid$150K

This provider vs. median2.0×

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	816	$31K
2019	960	$36K
2020	1,010	$44K
2021	647	$37K
2022	740	$44K
2023	782	$53K
2024incomplete	651	$52K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	52%	2,657	2,389	$153K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	27%	985	927	$81K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	17%	1,437	1,324	$50K
99282	Emergency department visit for the evaluation and management, low to moderate severity	4.5%	527	457	$13K

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.