Shah, Sumin

Shah, Sumin was paid $355K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.

33Billing provider infoSHAH, SUMIN
NAPERVILLE, IL 60564

33aNPI1407825011assigned 03/16/2006

33bProvider typeFamily Medicine Physician

28Total paid$355K

24GClaims5,901

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#303 of 2,947

Median peer was paid$43K

This provider vs. median8.3×

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	708	$39K
2019	905	$54K
2020	1,027	$62K
2021	858	$49K
2022	1,096	$69K
2023	737	$42K
2024incomplete	570	$39K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	84%	4,331	3,658	$298K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	815	720	$36K
90686		3.1%	578	423	$11K
90677		2.2%	28	17	$8K
90656		<1%	99	52	$2K
83036	Hemoglobin; glycosylated (A1C)	<1%	30	13	$189.00
36415	Collection of venous blood by venipuncture	<1%	20	19	$77.90

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.