npidexNPI registry + Medicare data

SUMAN SETIA, M.D.

Adult Medicine Physician · EVERGREEN PARK, IL

Individual Active NPI 1871560169

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20241921,218$228,456$112,548$88,619
20232021,727$333,772$170,334$134,886
20222281,819$367,136$185,590$143,135

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more454$88$64
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more286$123$93
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit109$125$125
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more92$55$41
99497Advance care planning, first 30 minutes76$79$76
G0181Physician or allowed practitioner 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 or allow46$102$80
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report39$14$11
G0180Physician or allowed practitioner 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 and34$52$41
G0179Physician or allowed practitioner 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 a32$41$32
G0444Annual depression screening, 5 to 15 minutes24$18$18

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Adult Medicine Physician207QA0505X✓036091885IL

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Adult Medicine Physician providers in Illinois

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.