Physician
Eappen, Seth
Eappen, Seth was paid $862K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 32% of everything it billed.
33Billing provider infoEAPPEN, SETH
OAK BROOK, IL 60523
OAK BROOK, IL 60523
33aNPI1386905669assigned 06/04/2012
33bProvider typePsychiatry Physician
28Total paid$862K
24GClaims24,129
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Psychiatry Physician providers in Illinois
Rank by total paid#53 of 660
Median peer was paid$68K
This provider vs. median13×
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 | 8,272 | $235K | |
| 2019 | 10,942 | $414K | |
| 2020 | 3,268 | $129K | |
| 2021 | 301 | $13K | |
| 2022 | 234 | $13K | |
| 2023 | 88 | $4K | |
| 2024incomplete | 1,024 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 32% | 12,177 | 4,655 | $278K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 29% | 2,218 | 1,557 | $248K |
| 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 | 16% | 2,324 | 1,677 | $140K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 14% | 4,049 | 1,955 | $124K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.7% | 1,167 | 994 | $40K |
| 99307 | 1.5% | 1,431 | 1,329 | $13K | |
| 99223 | Prolong inpt eval add15 m | <1% | 313 | 302 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 128 | 68 | $6K |
| 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% | 131 | 113 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 94 | 66 | $3K |
| 90785 | 0% | 58 | 51 | $0.00 | |
| 99442 | 0% | 18 | 18 | $0.00 |
1 more codes
| 4004F | 0% | 21 | $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.