Physician
Sum, Ada
Sum, Ada was paid $605K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoSUM, ADA
URBANA, IL 61802
URBANA, IL 61802
33aNPI1962667030assigned 07/28/2008
33bProvider typePediatrics Physician
28Total paid$605K
24GClaims10,451
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Illinois
Rank by total paid#251 of 1,805
Median peer was paid$55K
This provider vs. median11×
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 | 1,051 | $50K | |
| 2019 | 1,685 | $89K | |
| 2020 | 1,510 | $75K | |
| 2021 | 1,516 | $88K | |
| 2022 | 1,512 | $96K | |
| 2023 | 1,477 | $93K | |
| 2024incomplete | 1,700 | $113K |
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 | 34% | 4,331 | 3,991 | $204K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 23% | 2,069 | 1,967 | $142K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 21% | 1,617 | 1,573 | $124K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 1,058 | 976 | $80K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 346 | 304 | $27K |
| 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 | 2.5% | 192 | 179 | $15K |
| 92551 | 1.3% | 579 | 510 | $8K | |
| 99383 | <1% | 46 | 37 | $4K | |
| 99173 | <1% | 175 | 147 | $1K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 38 | 28 | $369.32 |
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.