Dhawan, Sushil

Dhawan, Sushil was paid $364K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.

33Billing provider infoDHAWAN, SUSHIL
MIDDLETOWN, NY 10940

33aNPI1013018118assigned 09/25/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$364K

24GClaims5,452

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in New York

Rank by total paid#33 of 429

Median peer was paid$4K

This provider vs. median95×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	791	$55K
2019	928	$58K
2020	520	$33K
2021	769	$47K
2022	742	$51K
2023	1,128	$81K
2024incomplete	574	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	64%	3,365	2,723	$233K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	22%	667	666	$82K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	1,325	1,111	$44K
20611		<1%	64	60	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	31	31	$3K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.