Physician
Sheth, Urmi
Sheth, Urmi was paid $145K by Medicaid between Sep 2023 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoSHETH, URMI
SYCAMORE, IL 60178
SYCAMORE, IL 60178
33aNPI1679102867assigned 04/08/2020
33bProvider typePediatrics Physician
28Total paid$145K
24GClaims3,874
24DCodes billed15
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#635 of 1,805
Median peer was paid$55K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2023 | 973 | $38K | |
| 2024incomplete | 2,901 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 895 | 767 | $50K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 32% | 672 | 560 | $46K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 185 | 158 | $14K |
| 90677 | 8.2% | 338 | 315 | $12K | |
| 90697 | 4.1% | 352 | 289 | $6K | |
| 90680 | 3.8% | 326 | 270 | $6K | |
| 99381 | 1.9% | 29 | 29 | $3K | |
| 90656 | 1.8% | 157 | 152 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 32 | 32 | $3K |
| 90686 | 1.2% | 107 | 100 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | 16 | $1K |
| 90381 | <1% | 47 | 27 | $803.37 |
3 more codes
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.