Bhalla, Suresh
Bhalla, Suresh was paid $82K by Medicaid between Jan 2018 and Mar 2023, across 16 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 46% of everything it billed.
33Billing provider infoBHALLA, SURESH
JOLIET, IL 60435
JOLIET, IL 60435
33aNPI1811995426assigned 07/08/2005
33bProvider typeSpecialist
28Total paid$82K
24GClaims2,083
24DCodes billed16
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Specialist providers in Illinois
Rank by total paid#97 of 273
Median peer was paid$32K
This provider vs. median2.5×
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 | 111 | $307.95 | |
| 2019 | 938 | $31K | |
| 2020 | 680 | $37K | |
| 2021 | 335 | $12K | |
| 2023 | 19 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 46% | 193 | 183 | $37K |
| 99205 | Prolong outpt/office vis | 38% | 421 | 346 | $31K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10.0% | 277 | 235 | $8K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.4% | 12 | 12 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.6% | 19 | 19 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 41 | 40 | $843.62 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 18 | 18 | $794.54 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 361 | 308 | $6.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 169 | 146 | $3.33 |
| 4040F | <1% | 352 | 302 | $2.16 | |
| G8482 | Influenza immunization administered or previously received | <1% | 12 | 12 | $0.04 |
| 1036F | <1% | 149 | 126 | $0.04 |
4 more codes
| 0529F | <1% | 14 | $0.04 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 14 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 13 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 18 | $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.