Physician
Tiwari, Sumit
Tiwari, Sumit was paid $158K by Medicaid between Oct 2020 and Aug 2024, across 13 billing codes. Its largest line is 93010, Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only — 28% of everything it billed.
33Billing provider infoTIWARI, SUMIT
EAST ALTON, IL 62024
EAST ALTON, IL 62024
33aNPI1215048574assigned 08/31/2006
33bProvider typeCardiovascular Disease Physician
28Total paid$158K
24GClaims8,516
24DCodes billed13
24AFirst – last monthOct 2020 – Aug 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Illinois
Rank by total paid#77 of 678
Median peer was paid$36K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2020 | 172 | $3K | |
| 2021 | 1,409 | $28K | |
| 2022 | 2,617 | $49K | |
| 2023 | 3,446 | $61K | |
| 2024incomplete | 872 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 28% | 4,704 | 4,214 | $45K |
| 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 | 27% | 1,011 | 959 | $43K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 20% | 882 | 814 | $31K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 695 | 297 | $22K |
| 93000 | 3.3% | 273 | 260 | $5K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.1% | 43 | 39 | $5K |
| 93018 | 1.4% | 129 | 113 | $2K | |
| 93016 | 1.1% | 104 | 99 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 29 | 26 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | 12 | $1K |
| 3078F | 0% | 242 | 234 | $0.00 | |
| 3008F | 0% | 150 | 142 | $0.00 |
1 more codes
| 3074F | 0% | 241 | $0.00 |
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.