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Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $314 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
754
Rank: 129th
out of 371 providers in this state & specialty
Services
Performed
8,099
Rank: 13th
out of 371 providers in this state & specialty
Avg Services
Per Patient
10.7 This Provider is in the top 10%
Avg 4.5
Total Paid
by Medicare
$742K
Rank: 5th
out of 371 providers in this state & specialty
Avg Paid
Per Patient
$984 This Provider is in the top 10%
Avg $314

Office Visits

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Top Billing

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Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Krishna Sunkara
Average for Pulmonary Disease Providers in Illinois

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Individuals

AJAY PARIKH

NIHAL GOONERATNE

SYAM REDDY

CHOONG KOH

ABDUL GHANI

Organizations

ADVOCATE HEALTH AND HOS...

SUPERIOR AIR-GROUND AMB...

Patients saw before

Krishna Sunkara

Patients saw after

Individuals

AJAY PARIKH

STEVEN KLEPAC

SYAM REDDY

ABDUL GHANI

NIHAL GOONERATNE

Organizations

ADVOCATE HEALTH AND HOS...

SUPERIOR AIR-GROUND AMB...

This Provider's Services

This provider performed 21 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
2,544
times performed,
31% of his services

1st 2nd

most performed service for this provider most performed service in this state & specialty

431
patients got this service, 57% of his patients
5.9
average number of visits a patient made for this service
(Peers: 2.5)
$671,616an average of $264 per time performed $206,064
an average of $81 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 35 minutes p... +

Subsequent nursing facility visit, typically 35 minutes per day ×

Service Code: 99310
Performed in a facility
1,007
times performed,
12% of his services

2nd 53rd

most performed service for this provider most performed service in this state & specialty

100
patients got this service, 13% of his patients
10.1
average number of visits a patient made for this service
(Peers: 6.5)
$221,540an average of $220 per time performed $108,756
an average of $108 per time performed
MEDICINE

Ventilation assistance and management, hospital inpatient... +

Ventilation assistance and management, hospital inpatient or observation ×

Service Code: 94003
Performed in a facility
861
times performed,
11% of his services

3rd 9th

most performed service for this provider most performed service in this state & specialty

34
patients got this service, 5% of his patients
25.3
average number of visits a patient made for this service
(Peers: 7.3)
$309,960an average of $360 per time performed $43,050
an average of $50 per time performed
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient,... +

Critical care delivery critically ill or injured patient, first 30-74 minutes ×

Service Code: 99291
Performed in a facility
795
times performed,
10% of his services

4th 3rd

most performed service for this provider most performed service in this state & specialty

166
patients got this service, 22% of his patients
4.8
average number of visits a patient made for this service
(Peers: 2.4)
$466,665an average of $587 per time performed $147,870
an average of $186 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
689
times performed,
9% of his services

5th 6th

most performed service for this provider most performed service in this state & specialty

157
patients got this service, 21% of his patients
4.4
average number of visits a patient made for this service
(Peers: 1.8)
$67,522an average of $98 per time performed $37,206
an average of $54 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
643
times performed,
8% of his services

6th 1st

most performed service for this provider most performed service in this state & specialty

78
patients got this service, 10% of his patients
8.2
average number of visits a patient made for this service
(Peers: 2.9)
$115,097an average of $179 per time performed $34,722
an average of $54 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
443
times performed,
5% of his services

7th 7th

most performed service for this provider most performed service in this state & specialty

366
patients got this service, 49% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$155,936an average of $352 per time performed $69,994
an average of $158 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 35 minutes p... +

Subsequent nursing facility visit, typically 35 minutes per day ×

Service Code: 99310
Performed in an office
347
times performed,
4% of his services

8th Alert

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

42
patients got this service, 6% of his patients
8.3
average number of visits a patient made for this service
$76,340an average of $220 per time performed $37,129
an average of $107 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
227
times performed,
3% of his services

9th 105th

most performed service for this provider most performed service in this state & specialty

180
patients got this service, 24% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$37,682an average of $166 per time performed $19,068
an average of $84 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
136
times performed,
2% of his services

10th 4th

most performed service for this provider most performed service in this state & specialty

98
patients got this service, 13% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.8)
$19,312an average of $142 per time performed $10,336
an average of $76 per time performed
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in a facility
91
times performed,
1% of his services

11th 74th

most performed service for this provider most performed service in this state & specialty

88
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$25,753an average of $283 per time performed $12,467
an average of $137 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
64
times performed,
0.79% of his services

12th 68th

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 2% of his patients
4.6
average number of visits a patient made for this service
(Peers: 4.1)
$3,520an average of $55 per time performed $320
an average of $5 per time performed
MEDICINE

Measurement and graphic recording of total and timed exha... +

Measurement and graphic recording of total and timed exhaled air capacity ×

Service Code: 94010
Performed in an office
40
times performed,
0.49% of his services

13th 11th

most performed service for this provider most performed service in this state & specialty

36
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$7,240an average of $181 per time performed $1,160
an average of $29 per time performed
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
33
times performed,
0.41% of his services

14th 66th

most performed service for this provider most performed service in this state & specialty

25
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$1,650an average of $50 per time performed $660
an average of $20 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
30
times performed,
0.37% of his services

15th 17th

most performed service for this provider most performed service in this state & specialty

30
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$6,810an average of $227 per time performed $3,360
an average of $112 per time performed
MEDICINE

Ventilation assistance and management, hospital inpatient... +

Ventilation assistance and management, hospital inpatient or observation ×

Service Code: 94002
Performed in a facility
28
times performed,
0.35% of his services

16th 114th

most performed service for this provider most performed service in this state & specialty

28
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,140an average of $505 per time performed $1,960
an average of $70 per time performed
DRUGS

Injection, methylprednisolone sodium succinate, up to 125 mg +

Injection, methylprednisolone sodium succinate, up to 125 mg ×

Service Code: J2930
Performed in an office
25
times performed,
0.31% of his services

17th 103rd

most performed service for this provider most performed service in this state & specialty

21
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$250an average of $10 per time performed $50
an average of $2 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
24
times performed,
0.3% of his services

18th 34th

most performed service for this provider most performed service in this state & specialty

24
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$624an average of $26 per time performed $576
an average of $24 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
24
times performed,
0.3% of his services

19th 31st

most performed service for this provider most performed service in this state & specialty

24
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,872an average of $328 per time performed $3,816
an average of $159 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
19
times performed,
0.23% of his services

20th 90th

most performed service for this provider most performed service in this state & specialty

19
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$475an average of $25 per time performed $266
an average of $14 per time performed
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per certification period ×

Service Code: G0180
Performed in an office
15
times performed,
0.19% of his services

21st 131st

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$2,475an average of $165 per time performed $675
an average of $45 per time performed
EVALUATION AND MANAGEMENT

Emergency department visit, problem with significant thre... +

Emergency department visit, problem with significant threat to life or function ×

Service Code: 99285
Performed in a facility
14
times performed,
0.17% of his services

22nd Alert

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$9,072an average of $648 per time performed $1,820
an average of $130 per time performed

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2013 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Notes: This provider has a self-reported specialty of "Pulmonary Disease." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.


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Credits: Warning icon designed by Stefan Parnarov from the Noun Project.