Verghese, Priya

Verghese, Priya was paid $8K by Medicaid between Jul 2020 and Sep 2022, across 3 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 60% of everything it billed.

33Billing provider infoVERGHESE, PRIYA
CHICAGO, IL 60611

33aNPI1902917891assigned 08/31/2006

33bProvider typePediatric Nephrology Physician

28Total paid$8K

24GClaims134

24DCodes billed3

24AFirst – last monthJul 2020 – Sep 2022

Compared with peers

Next to other Pediatric Nephrology Physician providers in Illinois

Rank by total paid#10 of 18

Median peer was paid$8K

This provider vs. median1.0×

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
2020	90	$5K
2021	32	$2K
2022	12	$911.70

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	60%	75	51	$5K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	27%	44	14	$2K
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	13%	15	12	$1K

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.