Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Springfield › NPI 1942494018
Physician

Shrestha, Santosh

Shrestha, Santosh was paid $310K by Medicaid between Jan 2018 and Sep 2024, across 7 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 46% of everything it billed.

33Billing provider infoSHRESTHA, SANTOSH
SPRINGFIELD, IL 62701
33aNPI1942494018assigned 08/31/2007
33bProvider typePsychiatry Physician
28Total paid$310K
24GClaims3,586
24DCodes billed7
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Psychiatry Physician providers in Illinois

Rank by total paid#157 of 660
Median peer was paid$68K
This provider vs. median4.6×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018675$54K
20191,228$142K
2020183$24K
2021440$22K
2022366$20K
2023402$25K
2024incomplete292$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 46% 2,093 625 $142K
90792 Psychiatric diagnostic evaluation with medical services 26% 390 257 $80K
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 18% 587 537 $57K
99238 Hospital discharge day management, 30 minutes or less 7.1% 246 204 $22K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.0% 106 90 $6K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 146 71 $3K
99222 Initial hospital care, per day, moderate complexity <1% 18 18 $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.