Sussman, Hal

Sussman, Hal was paid $20K by Medicaid between Feb 2018 and Jun 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 91% of everything it billed.

33Billing provider infoSUSSMAN, HAL
CORNING, NY 14830

33aNPI1194790923assigned 02/23/2006

33bProvider typeOtolaryngology Physician

28Total paid$20K

24GClaims1,823

24DCodes billed2

24AFirst – last monthFeb 2018 – Jun 2024

Compared with peers

Next to other Otolaryngology Physician providers in New York

Rank by total paid#128 of 302

Median peer was paid$10K

This provider vs. median2.0×

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	288	$3K
2019	409	$3K
2020	337	$3K
2021	430	$5K
2022	217	$3K
2023	130	$3K
2024incomplete	12	$230.44

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	91%	1,127	1,092	$18K
69210		9.1%	696	675	$2K

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.