SUSHMA KAUL, MD
Pulmonary Disease Physician · UTICA, NY
Individual Active NPI 1952317091
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 362 | 1,292 | $277,877 | $145,385 | $114,733 |
| 2023 | 398 | 1,290 | $282,915 | $162,615 | $127,721 |
| 2022 | 385 | 1,152 | $258,945 | $153,366 | $120,000 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 328 | $213 | $172 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 217 | $79 | $63 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 127 | $119 | $96 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 118 | $98 | $69 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 112 | $66 | $48 |
| 94726 | Test to determine lung volumes using sensors | 73 | $12 | $9 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 71 | $10 | $8 |
| 94729 | Test to examine how well the lungs exchange gases | 70 | $9 | $7 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 38 | $128 | $100 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 35 | $144 | $108 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 14 | $90 | $69 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 14 | $17 | $13 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 189385 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in New York
- NPI 1245339001
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- NPI 1366432064
- NPI 1225748494
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.