Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SETIA, SUMAN

NPI: 1871560169 · EVERGREEN PARK, IL 60805 · Adult Medicine Physician · NPI assigned 03/05/2006

$497K
Total Medicaid Paid
14,027
Total Claims
11,300
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 914 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,486 6,349 $245K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,947 3,511 $216K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 244 223 $16K
99232 Subsequent hospital care, per day, moderate complexity 986 240 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 51 51 $4K
99223 Prolong inpt eval add15 m 66 56 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 98 82 $2K
93000 73 66 $1K
82947 493 432 $974.00
99308 Subsequent nursing facility care, per day, straightforward 485 209 $916.22
90688 49 37 $552.60
83037 30 28 $29.60
G0008 Administration of influenza virus vaccine 19 16 $0.00