Physician
Setlur, Usha
Setlur, Usha was paid $195K by Medicaid between Jan 2018 and Oct 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoSETLUR, USHA
JOLIET, IL 60435
JOLIET, IL 60435
33aNPI1679533467assigned 03/24/2006
33bProvider typePediatrics Physician
28Total paid$195K
24GClaims4,821
24DCodes billed18
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#561 of 1,805
Median peer was paid$55K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2018 | 1,363 | $58K | |
| 2019 | 1,805 | $71K | |
| 2020 | 745 | $29K | |
| 2021 | 341 | $12K | |
| 2022 | 266 | $13K | |
| 2023 | 228 | $10K | |
| 2024incomplete | 73 | $1K |
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 | 47% | 1,979 | 1,608 | $91K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 417 | 287 | $32K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 9.2% | 1,017 | 593 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.0% | 237 | 215 | $18K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 205 | 177 | $14K |
| 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 | 4.5% | 121 | 107 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 84 | 66 | $7K |
| 90686 | 1.1% | 229 | 200 | $2K | |
| 90670 | <1% | 109 | 92 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 54 | 46 | $847.80 |
| 96127 | <1% | 58 | 49 | $846.80 | |
| 99173 | <1% | 110 | 110 | $819.50 |
6 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.