Shrestha, Niranjan

Shrestha, Niranjan was paid $184K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoSHRESTHA, NIRANJAN
CENTRALIA, IL 62801

33aNPI1508031758assigned 04/29/2008

33bProvider typeFamily Medicine Physician

28Total paid$184K

24GClaims9,993

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#607 of 2,947

Median peer was paid$43K

This provider vs. median4.3×

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	1,920	$28K
2019	1,394	$26K
2020	1,436	$31K
2021	2,215	$34K
2022	1,627	$29K
2023	996	$20K
2024incomplete	405	$15K

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	60%	2,970	2,700	$109K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	3,787	3,311	$57K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	6.3%	2,415	590	$11K
99238	Hospital discharge day management, 30 minutes or less	1.7%	534	481	$3K
99223	Prolong inpt eval add15 m	1.6%	213	193	$3K
99222	Initial hospital care, per day, moderate complexity	<1%	45	42	$332.92
G0008	Administration of influenza virus vaccine	<1%	15	15	$7.00
90674		0%	14	14	$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.