DANIEL SUSANTO, MD
Neuroradiology Physician · LYNNWOOD, WA
Individual Active NPI 1144364605
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 2,345 | 12,726 | $1,153,729 | $277,176 | $209,899 |
| 2023 | 2,190 | 9,734 | $998,977 | $241,509 | $186,586 |
| 2022 | 2,298 | 8,658 | $1,027,561 | $256,979 | $196,486 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 7,986 | $0 | $0 |
| 70450 | Ct scan head or brain without contrast | 791 | $41 | $31 |
| 70496 | Ct scan of blood vessels of head with contrast | 629 | $85 | $64 |
| 70498 | Ct scan of blood vessels of neck with contrast | 623 | $81 | $62 |
| 70551 | Mri scan of brain without contrast | 466 | $72 | $54 |
| 70553 | Mri scan of brain before and after contrast | 231 | $113 | $86 |
| 70553 | Mri scan of brain before and after contrast | 78 | $225 | $168 |
| 72148 | Mri scan of lower spinal canal without contrast | 53 | $73 | $57 |
| 70491 | Ct scan of soft tissue of neck with contrast | 48 | $68 | $51 |
| 70544 | Mri scan of blood vessels of head without contrast | 46 | $59 | $47 |
| 72125 | Ct scan of upper spine without contrast | 39 | $48 | $31 |
| 72141 | Mri scan of upper spinal canal without contrast | 36 | $71 | $57 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | ✓ | MD60083485 | WA |
| Diagnostic Radiology Physician | 2085R0202X | MD60083485 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | 17687 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | M-12378 | ID | |
| Diagnostic Radiology Physician | 2085R0202X | S-7900 | AK |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Neuroradiology Physician providers in Washington
- NPI 1720066293
- NPI 1356328280
- NPI 1154735561
- NPI 1700981966
- NPI 1982815296
- NPI 1669450128
- NPI 1477556868
- NPI 1902918287
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.