Dharia, Sumit
Dharia, Sumit was paid $140K by Medicaid between Feb 2018 and Aug 2024, across 7 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 54% of everything it billed.
33Billing provider infoDHARIA, SUMIT
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
33aNPI1194742932assigned 07/17/2006
33bProvider typeFoot Surgery Podiatrist
28Total paid$140K
24GClaims6,517
24DCodes billed7
24AFirst – last monthFeb 2018 – Aug 2024
Compared with peers
Next to other Foot Surgery Podiatrist providers in New York
Rank by total paid#43 of 190
Median peer was paid$33K
This provider vs. median4.2×
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 | 907 | $21K | |
| 2019 | 1,246 | $24K | |
| 2020 | 1,056 | $21K | |
| 2021 | 1,029 | $18K | |
| 2022 | 1,099 | $29K | |
| 2023 | 728 | $14K | |
| 2024incomplete | 452 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 54% | 3,110 | 1,136 | $75K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 1,626 | 757 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12% | 1,188 | 522 | $17K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.5% | 285 | 32 | $9K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.6% | 262 | 37 | $5K |
| 99223 | Prolong inpt eval add15 m | 1.4% | 33 | 32 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | 12 | $380.00 |
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.