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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, $130 per patient in 2012.
They performed about 1 services per patient. Here’s how this provider compares.
Number of
Patients
844
Rank: 239th
out of 1,696 providers in this state & specialty
Services
Performed
9,684
Rank: 3rd
out of 1,696 providers in this state & specialty
Avg Services
Per Patient
11.5 This Provider is in the top 10%
Avg 1.4
Total Paid
by Medicare
$767K
Rank: 1st
out of 1,696 providers in this state & specialty
Avg Paid
Per Patient
$909 This Provider is in the top 10%
Avg $130

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.

Suresh Shah
Average for Emergency Medicine 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

SUK LEE

C TYSON

VIRENDRA BISLA

ARPIT SHAH

MICHAEL WILLIAMS

Organizations

SOUTH SHORE HOSPITAL CO...

SUPERIOR AIR-GROUND AMB...

Patients saw before

Suresh Shah

Patients saw after

Individuals

SUK LEE

C TYSON

VIRENDRA BISLA

ARPIT SHAH

SUNDER VINODKUMAR

Organizations

SOUTH SHORE HOSPITAL CO...

AMBULANCE TRANSPORTATIO...

This Provider's Services

This provider performed 19 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 nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in an office
4,546
times performed,
47% of his services

1st Alert

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

502
patients got this service, 59% of his patients
9.1
average number of visits a patient made for this service
$590,980an average of $130 per time performed $318,220
an average of $70 per time performed
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
2,191
times performed,
23% of his services

2nd 13th

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

214
patients got this service, 25% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.1)
$383,425an average of $175 per time performed $186,235
an average of $85 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
539
times performed,
6% of his services

3rd 7th

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

76
patients got this service, 9% of his patients
7.1
average number of visits a patient made for this service
(Peers: 1.8)
$43,120an average of $80 per time performed $29,645
an average of $55 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
459
times performed,
5% of his services

4th Alert

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

278
patients got this service, 33% of his patients
1.7
average number of visits a patient made for this service
$73,440an average of $160 per time performed $49,572
an average of $108 per time performed
EVALUATION AND MANAGEMENT

Established patient home visit, typically 40 minutes

Service Code: 99349
Performed in an office
333
times performed,
3% of his services

5th Alert

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

74
patients got this service, 9% of his patients
4.5
average number of visits a patient made for this service
$70,263an average of $211 per time performed $31,635
an average of $95 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
289
times performed,
3% of his services

6th 27th

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

198
patients got this service, 23% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$79,475an average of $275 per time performed $48,263
an average of $167 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 an office
287
times performed,
3% of his services

7th Alert

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

278
patients got this service, 33% of his patients
1
average number of visits a patient made for this service
$57,400an average of $200 per time performed $39,319
an average of $137 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
246
times performed,
3% of his services

8th 26th

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

159
patients got this service, 19% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$36,900an average of $150 per time performed $14,514
an average of $59 per time performed
EVALUATION AND MANAGEMENT

Established patient assisted living visit, typically 25 m... +

Established patient assisted living visit, typically 25 minutes ×

Service Code: 99335
Performed in an office
165
times performed,
2% of his services

9th Alert

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

23
patients got this service, 3% of his patients
7.2
average number of visits a patient made for this service
$28,710an average of $174 per time performed $11,220
an average of $68 per time performed
EVALUATION AND MANAGEMENT

Nursing facility discharge management, more than 30 minutes +

Nursing facility discharge management, more than 30 minutes ×

Service Code: 99316
Performed in an office
161
times performed,
2% of his services

10th Alert

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

154
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
$19,320an average of $120 per time performed $13,524
an average of $84 per time performed
PROCEDURES

Physician re-certification for medicare-covered home heal... +

Physician re-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 re-certification period ×

Service Code: G0179
Performed in an office
124
times performed,
1% of his services

11th 40th

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

70
patients got this service, 8% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.9)
$13,020an average of $105 per time performed $4,092
an average of $33 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
112
times performed,
1% of his services

12th 11th

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

75
patients got this service, 9% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.8)
$16,800an average of $150 per time performed $6,720
an average of $60 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
110
times performed,
1% of his services

13th 51st

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

85
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$17,820an average of $162 per time performed $4,840
an average of $44 per time performed
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
35
times performed,
0.36% of his services

14th 16th

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

31
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$875an average of $25 per time performed $105
an average of $3 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
31
times performed,
0.32% of his services

15th 8th

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: 1.6)
$3,100an average of $100 per time performed $2,356
an average of $76 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
19
times performed,
0.2% of his services

16th 29th

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

18
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$4,750an average of $250 per time performed $2,166
an average of $114 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
13
times performed,
0.13% of his services

17th 108th

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,080an average of $160 per time performed $1,443
an average of $111 per time performed
EVALUATION AND MANAGEMENT

New patient home visit, typically 45 minutes

Service Code: 99343
Performed in an office
12
times performed,
0.12% of his services

18th Alert

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$3,660an average of $305 per time performed $1,056
an average of $88 per time performed
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in an office
12
times performed,
0.12% of his services

19th Alert

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$2,400an average of $200 per time performed $1,320
an average of $110 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 "Family Medicine." 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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