Karki, Sumnima

Karki, Sumnima was paid $11K by Medicaid between Jan 2019 and Sep 2021, across 3 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 78% of everything it billed.

33Billing provider infoKARKI, SUMNIMA
NILES, IL 60714

33aNPI1598276388assigned 10/19/2017

33bProvider typeFamily Nurse Practitioner

28Total paid$11K

24GClaims966

24DCodes billed3

24AFirst – last monthJan 2019 – Sep 2021

Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#2,171 of 3,353

Median peer was paid$25K

This provider vs. median0.5×

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
2019	427	$2K
2020	254	$4K
2021	285	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	78%	668	363	$9K
99308	Subsequent nursing facility care, per day, straightforward	15%	221	132	$2K
99310	Prolong nursin fac eval 15m	7.5%	77	54	$833.30

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.