Physician
Kumar, Shashi
Kumar, Shashi was paid $223K by Medicaid between Jan 2018 and Oct 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoKUMAR, SHASHI
LINCOLNWOOD, IL 60712
LINCOLNWOOD, IL 60712
33aNPI1285737866assigned 09/07/2006
33bProvider typePediatrics Physician
28Total paid$223K
24GClaims7,212
24DCodes billed30
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#517 of 1,805
Median peer was paid$55K
This provider vs. median4.0×
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 | 687 | $25K | |
| 2019 | 1,126 | $39K | |
| 2020 | 1,063 | $29K | |
| 2021 | 1,075 | $23K | |
| 2022 | 1,119 | $34K | |
| 2023 | 1,443 | $47K | |
| 2024incomplete | 699 | $27K |
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 | 27% | 1,246 | 1,083 | $60K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 22% | 707 | 582 | $50K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 467 | 381 | $34K |
| 90686 | 5.6% | 1,082 | 925 | $13K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.6% | 653 | 570 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 107 | 101 | $9K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 3.3% | 564 | 529 | $7K |
| 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 | 3.0% | 91 | 89 | $7K |
| 99173 | 2.8% | 835 | 701 | $6K | |
| 92551 | 2.7% | 403 | 325 | $6K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 51 | 40 | $4K |
| D1206 | Topical application of fluoride varnish | 1.4% | 129 | 124 | $3K |
18 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 92 | $2K |
| 96127 | <1% | 145 | $2K | |
| 0071A | <1% | 53 | $2K | |
| 87430 | <1% | 115 | $2K | |
| 0072A | <1% | 35 | $1K | |
| 90672 | <1% | 82 | $1K | |
| 90700 | <1% | 87 | $909.87 | |
| 91319 | <1% | 17 | $697.60 | |
| 99402 | <1% | 17 | $510.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | $375.60 |
| 90713 | <1% | 15 | $250.65 | |
| 90648 | <1% | 14 | $233.94 | |
| 90619 | <1% | 13 | $217.23 | |
| 90670 | <1% | 14 | $200.52 | |
| 90685 | <1% | 12 | $120.42 | |
| 91307 | <1% | 35 | $0.03 | |
| 1036F | 0% | 13 | $0.00 | |
| 1003F | 0% | 94 | $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.