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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, $218 per patient in 2014.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
713
Rank: 92nd
out of 3,278 providers in this state & specialty
Services
Performed
5,079
Rank: 97th
out of 3,278 providers in this state & specialty
Avg Services
Per Patient
7.1 This Provider
Avg 4.8
Total Paid
by Medicare
$402K
Rank: 22nd
out of 3,278 providers in this state & specialty
Avg Paid
Per Patient
$564 This Provider is in the top 10%
Avg $218

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

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 in 2014.

Individuals

ARPIT SHAH

SUK LEE

C TYSON

VIRENDRA BISLA

PAUL NELSON

Organizations

SOUTH SHORE HOSPITAL CO...

SUPERIOR AIR-GROUND AMB...

Patients saw before

SURESH SHAH MD

Patients saw after

Individuals

ARPIT SHAH

SUK LEE

PAUL NELSON

C TYSON

VIRENDRA BISLA

Organizations

SOUTH SHORE HOSPITAL CO...

LIFESCAN LABORATORY, INC.

This Provider's Services

This provider performed 32 different services in 2014
All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
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
2,633
times performed,
52% of his services

1st 21st

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

404
patients got this service, 57% of his patients
6.5
average number of visits a patient made for this service
(Peers: 3.7)
$368,620an average of $140 per time performed $187,838
an average of $71 per time performed
medical
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
582
times performed,
11% of his services

2nd 8th

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

90
patients got this service, 13% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.7)
$101,850an average of $175 per time performed $50,582
an average of $87 per time performed
medical
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
356
times performed,
7% of his services

3rd 2nd

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

106
patients got this service, 15% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2)
$28,480an average of $80 per time performed $18,594
an average of $52 per time performed
medical
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
346
times performed,
7% of his services

4th 119th

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

218
patients got this service, 31% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.3)
$58,820an average of $170 per time performed $36,171
an average of $105 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient home visit, typically 40 minutes

Service Code: 99349
Performed in an office
240
times performed,
5% of his services

5th 22nd

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

56
patients got this service, 8% of his patients
4.3
average number of visits a patient made for this service
(Peers: 2.5)
$52,589an average of $219 per time performed $22,802
an average of $95 per time performed
medical
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
154
times performed,
3% of his services

6th 103rd

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

148
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$33,880an average of $220 per time performed $21,389
an average of $139 per time performed
medical
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
103
times performed,
2% of his services

7th 18th

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

80
patients got this service, 11% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$28,325an average of $275 per time performed $17,677
an average of $172 per time performed
medical
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
101
times performed,
2% of his services

8th 275th

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

94
patients got this service, 13% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$14,140an average of $140 per time performed $8,879
an average of $88 per time performed
medical
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 im ×

Service Code: G0179
Performed in an office
97
times performed,
2% of his services

9th 43rd

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

50
patients got this service, 7% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.7)
$9,146an average of $94 per time performed $3,318
an average of $34 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
93
times performed,
2% of his services

10th 20th

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

72
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$13,950an average of $150 per time performed $5,621
an average of $60 per time performed
medical
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 imple ×

Service Code: G0180
Performed in an office
76
times performed,
1% of his services

11th 39th

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

62
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$9,320an average of $123 per time performed $3,276
an average of $43 per time performed
medical
PROCEDURES

Physician supervision of a patient receiving medicare-cov... +

Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c ×

Service Code: G0181
Performed in an office
68
times performed,
1% of his services

12th 36th

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

34
patients got this service, 5% of his patients
2
average number of visits a patient made for this service
(Peers: 2.8)
$10,759an average of $158 per time performed $6,114
an average of $90 per time performed
medical
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
22
times performed,
0.43% of his services

13th 177th

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

22
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,520an average of $160 per time performed $2,529
an average of $115 per time performed
medical
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
16
times performed,
0.32% of his services

14th 1st

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 2)
$2,916an average of $182 per time performed $1,150
an average of $72 per time performed
medical
PROCEDURES

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

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

Service Code: G0438
Performed in an office
16
times performed,
0.32% of his services

15th 58th

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,961an average of $310 per time performed $2,819
an average of $176 per time performed

Office Visits

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 Family Medicine Providers in Illinois

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

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.

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.

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