Physician
Karna, Sandhya
Karna, Sandhya was paid $159K by Medicaid between Sep 2021 and Dec 2024, across 19 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 34% of everything it billed.
33Billing provider infoKARNA, SANDHYA
MCHENRY, IL 60050
MCHENRY, IL 60050
33aNPI1700936390assigned 01/12/2007
33bProvider typePediatrics Physician
28Total paid$159K
24GClaims3,619
24DCodes billed19
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#612 of 1,805
Median peer was paid$55K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2021 | 159 | $9K | |
| 2022 | 978 | $38K | |
| 2023 | 1,345 | $53K | |
| 2024incomplete | 1,137 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 34% | 790 | 612 | $55K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 622 | 581 | $32K |
| 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 | 18% | 352 | 320 | $28K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 310 | 279 | $24K |
| 90670 | 3.7% | 335 | 292 | $6K | |
| 90697 | 1.6% | 150 | 148 | $3K | |
| 90686 | 1.4% | 131 | 130 | $2K | |
| 90680 | 1.4% | 131 | 108 | $2K | |
| 90677 | 1.1% | 93 | 77 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 92 | 79 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 26 | 26 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $1K |
7 more codes
| 90656 | <1% | 41 | $692.11 | |
| 90633 | <1% | 27 | $455.67 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | $430.79 |
| 81002 | <1% | 128 | $334.70 | |
| 90619 | <1% | 12 | $203.02 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 314 | $0.00 |
| 90461 | 0% | 25 | $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.