Sussman, David

Sussman, David was paid $682K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoSUSSMAN, DAVID
BROOKLYN, NY 11243

33aNPI1164586988assigned 12/19/2006

33bProvider typeUrology Physician

28Total paid$682K

24GClaims16,547

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Urology Physician providers in New York

Rank by total paid#29 of 461

Median peer was paid$6K

This provider vs. median118×

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	1,931	$69K
2019	2,641	$89K
2020	2,007	$68K
2021	2,583	$110K
2022	2,835	$140K
2023	2,767	$131K
2024incomplete	1,783	$74K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	4,260	3,719	$231K
51784		29%	3,216	3,094	$200K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	11%	976	966	$77K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	11%	889	888	$74K
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	9.5%	714	670	$65K
51741		4.2%	3,622	3,069	$29K
81002		<1%	2,841	2,809	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	29	28	$196.61

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.