Master Sankar Raj, Vimal

Master Sankar Raj, Vimal was paid $126K by Medicaid between Feb 2018 and Oct 2024, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 66% of everything it billed.

33Billing provider infoMASTER SANKAR RAJ, VIMAL
PEORIA, IL 61637

33aNPI1336339597assigned 07/25/2007

33bProvider typePediatric Nephrology Physician

28Total paid$126K

24GClaims1,805

24DCodes billed5

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Pediatric Nephrology Physician providers in Illinois

Rank by total paid#2 of 18

Median peer was paid$8K

This provider vs. median15×

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	207	$11K
2019	403	$48K
2020	183	$26K
2021	296	$10K
2022	298	$11K
2023	258	$11K
2024incomplete	160	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	66%	415	361	$83K
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	33%	865	787	$41K
81003		<1%	494	431	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	16	16	$723.55
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	<1%	15	14	$171.47

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.