Jain, Sumeet

Jain, Sumeet was paid $85K by Medicaid between Nov 2019 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoJAIN, SUMEET
CHICAGO, IL 60612

33aNPI1144648023assigned 03/28/2014

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$85K

24GClaims2,729

24DCodes billed5

24AFirst – last monthNov 2019 – Oct 2024

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Illinois

Rank by total paid#31 of 193

Median peer was paid$18K

This provider vs. median4.7×

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
2019	74	$1K
2020	558	$16K
2021	740	$19K
2022	604	$21K
2023	434	$15K
2024incomplete	319	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	43%	1,007	959	$36K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	38%	657	610	$32K
99231	Subsequent hospital care, per day, straightforward or low complexity	12%	737	335	$10K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	7.2%	229	116	$6K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	99	94	$157.17

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.