Verma, Kaninika

Verma, Kaninika was paid $90K by Medicaid between May 2018 and Oct 2024, across 9 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 37% of everything it billed.

33Billing provider infoVERMA, KANINIKA
PEORIA, IL 61606

33aNPI1265503429assigned 11/10/2006

33bProvider typePulmonary Disease Physician

28Total paid$90K

24GClaims1,962

24DCodes billed9

24AFirst – last monthMay 2018 – Oct 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Illinois

Rank by total paid#86 of 212

Median peer was paid$51K

This provider vs. median1.8×

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	51	$1K
2019	349	$9K
2020	357	$12K
2021	509	$33K
2022	286	$15K
2023	271	$13K
2024incomplete	139	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	37%	978	454	$33K
95806		31%	569	566	$28K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	14%	114	46	$12K
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	6.5%	130	108	$6K
95811		4.0%	53	52	$4K
95810	Polysomnography; sleep staging with 4 or more additional parameters	3.1%	41	38	$3K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.6%	39	38	$2K
99205	Prolong outpt/office vis	1.3%	26	26	$1K
99223	Prolong inpt eval add15 m	<1%	12	12	$416.76

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.