Setlur, Vikram

Setlur, Vikram was paid $220K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 60% of everything it billed.

33Billing provider infoSETLUR, VIKRAM
WHEATON, IL 60187

33aNPI1750547733assigned 07/30/2008

33bProvider typeOphthalmology Physician

28Total paid$220K

24GClaims5,123

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#102 of 431

Median peer was paid$34K

This provider vs. median6.4×

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	438	$16K
2019	897	$49K
2020	779	$28K
2021	823	$30K
2022	995	$48K
2023	745	$32K
2024incomplete	446	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	60%	922	707	$133K
92134		13%	2,039	1,836	$28K
J9035	Injection, bevacizumab, 10 mg	12%	578	438	$26K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	8.1%	618	555	$18K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	5.2%	824	716	$11K
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	1.9%	113	108	$4K
92201		<1%	29	29	$297.27

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.