Physician
Shah, Sunil
Shah, Sunil was paid $1.61M by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoSHAH, SUNIL
OAK LAWN, IL 60453
OAK LAWN, IL 60453
33aNPI1275517211assigned 12/02/2005
33bProvider typeInternal Medicine Physician
28Total paid$1.61M
24GClaims83,464
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Illinois
Rank by total paid#21 of 3,722
Median peer was paid$26K
This provider vs. median62×
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 | 15,391 | $226K | |
| 2019 | 18,328 | $273K | |
| 2020 | 11,157 | $249K | |
| 2021 | 10,168 | $225K | |
| 2022 | 12,133 | $276K | |
| 2023 | 9,665 | $198K | |
| 2024incomplete | 6,622 | $162K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 18,117 | 14,075 | $744K |
| 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 | 14% | 3,263 | 2,854 | $221K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 13% | 2,468 | 2,168 | $208K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.1% | 5,659 | 1,582 | $146K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.1% | 1,543 | 1,413 | $82K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.5% | 859 | 729 | $72K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.4% | 1,338 | 1,219 | $39K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.2% | 793 | 264 | $35K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 732 | 629 | $31K |
| 99223 | Prolong inpt eval add15 m | <1% | 131 | 125 | $12K |
| 99334 | <1% | 1,047 | 973 | $4K | |
| 99347 | <1% | 467 | 440 | $4K |
27 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 45 | $4K |
| 99406 | <1% | 625 | $3K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 28 | $2K |
| 99397 | <1% | 14 | $1K | |
| 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% | 83 | $456.01 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 421 | $187.23 |
| 3008F | <1% | 10,246 | $46.56 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $44.10 |
| 2000F | 0% | 9,866 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,351 | $0.00 |
| 2010F | 0% | 9,136 | $0.00 | |
| G9716 | Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason | 0% | 421 | $0.00 |
| 2001F | 0% | 9,105 | $0.00 | |
| 1036F | 0% | 2,551 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 679 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 25 | $0.00 |
| 1111F | 0% | 63 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 263 | $0.00 |
| 1034F | 0% | 17 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 93 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 37 | $0.00 |
| 99496 | 0% | 14 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 38 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,215 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 652 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 30 | $0.00 |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 16 | $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.