Physician
Nagabhairava, Sushma
Nagabhairava, Sushma was paid $46K by Medicaid between Nov 2018 and Apr 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.
33Billing provider infoNAGABHAIRAVA, SUSHMA
LEMONT, IL 60439
LEMONT, IL 60439
33aNPI1710265822assigned 07/25/2011
33bProvider typeFamily Medicine Physician
28Total paid$46K
24GClaims971
24DCodes billed9
24AFirst – last monthNov 2018 – Apr 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#1,419 of 2,947
Median peer was paid$43K
This provider vs. median1.1×
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 | 24 | $2K | |
| 2019 | 30 | $2K | |
| 2020 | 241 | $16K | |
| 2021 | 203 | $15K | |
| 2022 | 166 | $7K | |
| 2023 | 230 | $5K | |
| 2024incomplete | 77 | $0.00 |
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 | 97% | 628 | 452 | $45K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 31 | 24 | $1K |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 47 | 39 | $0.00 |
| 3078F | 0% | 54 | 42 | $0.00 | |
| 1036F | 0% | 70 | 54 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 51 | 42 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 16 | 12 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 23 | 14 | $0.00 |
| 3074F | 0% | 51 | 42 | $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.