IRAWAN SUSANTO, MD
Critical Care Medicine (Internal Medicine) Physician · SANTA MONICA, CA
Individual Active NPI 1003836610
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 51 | 287 | $401,181 | $47,603 | $37,255 |
| 2023 | 99 | 510 | $738,264 | $81,156 | $64,157 |
| 2022 | 133 | 832 | $1,230,447 | $134,345 | $108,075 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 143 | $217 | $172 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 25 | $122 | $98 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 24 | $194 | $136 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ✓ | C50280 | CA |
| Pulmonary Disease Physician | 207RP1001X | C50280 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Critical Care Medicine (Internal Medicine) Physician providers in California
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See all Critical Care Medicine (Internal Medicine) Physician providers in California →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.