Providers
All 10 in IL
BIKRAM SHARMA, MD
NPI 1063891232, individual, Joliet, IL, Psychiatry & Neurology, Psychiatry
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90833 ($349 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7809, $1.1M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jul 2024 | More hours than a day holds, even counting one unit per claim line | 24.5 | 29.9 | 19.9 | 26.8 | 399 | 1 | 90792 90833 90834 99213 99232 99233 99238 99239 | $92K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BIKRAM SHARMA, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | May 21, 2015, last updated December 23, 2019 |
| Practice location | 2319 MANHATTAN RD, Joliet, IL 60433-8605, 708-223-2698 |
| Mailing address | 14035 W AUSTRIAN CT, Homer Glen, IL 60491-3828 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, license 72141-20 WI) Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 036.150251 IL) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90792 | Psychiatric diagnostic evaluation with medical services | $413K | 25% | $173 | $112 (top 5% from $313) | 79th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $331K | 20% | $349 | $49 (top 5% from $109) | 100th percentile | |
| 90834 | Psychotherapy, 45 minutes | $285K | 17% | $236 | $101 (top 5% from $318) | 89th percentile | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $227K | 14% | $299 | $96 (top 5% from $249) | 97th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $172K | 10% | $81 | $67 (top 5% from $174) | 63rd percentile | |
| 90832 | Psychotherapy, 30 minutes | $160K | 10% | $135 | $59 (top 5% from $239) | 88th percentile | |
| 99239 | Hospital discharge day management, more than 30 minutes | $31K | 2% | $74 | $49 (top 5% from $101) | 80th percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $9K | 1% | $48 | $48 (top 5% from $80) | 51st percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 348 | 51 | $34K | $270 | $123 | 2.2x | 2.6x (90th percentile 4.7x) |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 424 | 51 | $23K | $130 | $67 | 2.0x | 2.1x (90th percentile 3.5x) |
| 90792 | Psychiatric diagnostic evaluation with medical services | 49 | 42 | $7K | $330 | $175 | 1.9x | 2.2x (90th percentile 3.9x) |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 79 | 35 | $5K | $165 | $83 | 2.0x | 2.6x (90th percentile 4.3x) |
| 99239 | Hospital discharge day management, more than 30 minutes | 27 | 23 | $3K | $350 | $120 | 2.9x | 2.8x (90th percentile 5.6x) |
| 99238 | Hospital discharge day management, 30 minutes or less | 18 | 16 | $1K | $225 | $86 | 2.6x | 2.6x (90th percentile 4.7x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
10 providers in Will County, IL carry an indicator in the public record, with $4.0M at stake between them. The most common is part of a provider network, on 8 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | PEARL HOSPICE, LLC Crete, IL, ranked 3368 | $0 |
|
| 3 | DISTINCT HOME HEALTH CARE LLC Crete, IL, ranked 3501 | $0 |
|
| 3 | REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME Homer Glen, IL, ranked 4068 | $0 |
|
| 3 | PRIME HEALTHCARE SENIOR LIVING, LLC Joliet, IL, ranked 4828 | $0 |
|
| 3 | REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME Homer Glen, IL, ranked 5020 | $0 |
|
| 3 | PRIME HEALTHCARE HOME CARE AND HOSPICE, LLC Joliet, IL, ranked 5984 | $0 |
|
| 3 | PEARL OF JOLIET LLC Joliet, IL, ranked 6931 | $0 |
|
| 3 | REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME Homer Glen, IL, ranked 7253 | $0 |
|
Recent enforcement in IL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJChargedJun 23, 2026
United States Attorney Andrew S. Boutros Announces Charges Against Two Chicago-Area Defendants as Part of Department of Justice’s National Healthcare Fraud Takedown
Two Chicago-area defendants were charged, one for selling Medicare beneficiary information and providing fake AI-generated consent recordings so laboratories could bill Medicare for over-the-counter Covid-19 test kits that were never requested or provided, and the other for directing the creation of fake medical records and billing Illinois Medicaid for behavioral health counseling and therapy services that were never provided, including for deceased beneficiaries.
DOJConvictedJun 18, 2026
Suburban Chicago Chiropractor Convicted of Healthcare Fraud
A chiropractor submitted fraudulent claims to Blue Cross Blue Shield of Illinois for health care services that were not actually provided and submitted false patient medical records when the insurer attempted to audit the claims.
DOJSentencedJun 10, 2026
Jacksonville Chiropractor Sentenced to a Year in Prison for Healthcare Fraud and Related Offenses
Rondeau submitted more than 2,000 fraudulent claims to health insurance companies and convinced clients to sign false documents after learning he was under investigation.
DOJCivil settlementMay 8, 2026
Three Affiliated Skilled Nursing Facilities to Pay $300,000 to Resolve False Claims Act Allegations Related to Medically Unnecessary Rehabilitation Services
Three affiliated skilled nursing facilities billed Medicare between Jan. 1, 2014, and Sept. 30, 2019, for physical therapy, occupational therapy, and speech pathology services provided to patients for longer than medically necessary and without regard for patients' individual medical needs, resulting in claims based on inflated RUG levels.
DOJIndictedFeb 12, 2026
Two Foreign Nationals Indicted in Chicago as Part of $10 Million Health Care Fraud Scheme
The indictment alleges the defendants used nominee-owned laboratories and durable medical equipment providers to submit fraudulent claims to Medicare and private health care benefit programs for items and services that were not provided, and laundered and transferred proceeds to Pakistan.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.