Physician
Setia, Suman
Setia, Suman was paid $497K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoSETIA, SUMAN
EVERGREEN PARK, IL 60805
EVERGREEN PARK, IL 60805
33aNPI1871560169assigned 03/05/2006
33bProvider typeAdult Medicine Physician
28Total paid$497K
24GClaims14,027
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Adult Medicine Physician providers in Illinois
Rank by total paid#1 of 24
Median peer was paid$20K
This provider vs. median25×
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 | 2,612 | $75K | |
| 2019 | 3,145 | $94K | |
| 2020 | 2,694 | $85K | |
| 2021 | 1,661 | $67K | |
| 2022 | 1,611 | $69K | |
| 2023 | 1,390 | $60K | |
| 2024incomplete | 914 | $46K |
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 | 49% | 7,486 | 6,349 | $245K |
| 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 | 43% | 3,947 | 3,511 | $216K |
| 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 | 3.2% | 244 | 223 | $16K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.7% | 986 | 240 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 51 | 51 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 66 | 56 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 98 | 82 | $2K |
| 93000 | <1% | 73 | 66 | $1K | |
| 82947 | <1% | 493 | 432 | $974.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 485 | 209 | $916.22 |
| 90688 | <1% | 49 | 37 | $552.60 | |
| 83037 | <1% | 30 | 28 | $29.60 |
1 more codes
| G0008 | Administration of influenza virus vaccine | 0% | 19 | $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.