Clinic
Sushil Anand M.D., Faap
Sushil Anand M.D., Faap was paid $716K by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoSUSHIL ANAND M.D., FAAP
ONTARIO, CA 91762
ONTARIO, CA 91762
33aNPI1205203510assigned 08/24/2015
33bProvider typePrimary Care Clinic/Center
28Total paid$716K
24GClaims136,393
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#66 of 422
Median peer was paid$25K
This provider vs. median29×
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 | 3,081 | $35K | |
| 2019 | 12,501 | $93K | |
| 2020 | 15,445 | $91K | |
| 2021 | 29,435 | $155K | |
| 2022 | 23,799 | $122K | |
| 2023 | 29,519 | $124K | |
| 2024incomplete | 22,613 | $97K |
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 | 20% | 16,529 | 14,601 | $140K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 19% | 7,046 | 6,868 | $134K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 1,898 | 1,840 | $89K |
| 92551 | 9.5% | 7,698 | 7,591 | $68K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.4% | 4,146 | 4,078 | $32K |
| 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 | 4.0% | 3,184 | 2,843 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 2,884 | 2,843 | $27K |
| G9920 | Screening performed and negative | 3.6% | 7,098 | 6,989 | $26K |
| 90461 | 3.3% | 2,066 | 2,039 | $24K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 2,539 | 2,516 | $13K |
| 99381 | 1.7% | 136 | 136 | $12K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.6% | 6,740 | 6,609 | $12K |
59 more codes
| 90670 | 1.6% | 1,713 | $11K | |
| 90698 | 1.3% | 1,374 | $9K | |
| 99406 | 1.3% | 5,260 | $9K | |
| 90686 | 1.1% | 1,428 | $8K | |
| 90680 | 1.0% | 1,022 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 1,484 | $7K |
| 90744 | <1% | 792 | $6K | |
| 99383 | <1% | 78 | $5K | |
| 90633 | <1% | 826 | $5K | |
| 90716 | <1% | 678 | $4K | |
| 90697 | <1% | 118 | $4K | |
| 90707 | <1% | 649 | $4K | |
| 90677 | <1% | 303 | $4K | |
| 90651 | <1% | 448 | $3K | |
| 90700 | <1% | 461 | $3K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 5,050 | $3K |
| 90734 | <1% | 353 | $2K | |
| 90688 | <1% | 347 | $2K | |
| 99188 | <1% | 1,025 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 115 | $1K |
| 90672 | <1% | 210 | $1K | |
| 99382 | <1% | 37 | $940.43 | |
| 90710 | <1% | 84 | $909.00 | |
| 90656 | <1% | 158 | $903.00 | |
| 90715 | <1% | 132 | $771.40 | |
| 92081 | <1% | 654 | $724.75 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 451 | $692.00 |
| 90713 | <1% | 91 | $585.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 750 | $516.92 |
| 90685 | <1% | 76 | $480.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 8,257 | $466.60 |
| 99173 | <1% | 5,773 | $394.10 | |
| 96127 | <1% | 1,379 | $384.46 | |
| 90696 | <1% | 53 | $322.00 | |
| 90620 | <1% | 46 | $243.00 | |
| 0071A | <1% | 41 | $240.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 48 | $228.51 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 216 | $216.77 |
| 0072A | <1% | 35 | $200.00 | |
| 90648 | <1% | 27 | $147.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 14 | $146.90 |
| 96161 | <1% | 558 | $122.53 | |
| 3008F | <1% | 8,039 | $114.30 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 7,878 | $110.00 |
| 90660 | <1% | 13 | $78.00 | |
| 85018 | <1% | 232 | $43.48 | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | <1% | 724 | $36.26 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 5,862 | $30.14 |
| 81002 | <1% | 169 | $13.60 | |
| 4004F | <1% | 1,873 | $7.50 | |
| 96160 | <1% | 5,502 | $4.58 | |
| 1220F | 0% | 207 | $0.00 | |
| 3351F | 0% | 45 | $0.00 | |
| 91307 | 0% | 72 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 13 | $0.00 |
| 99408 | 0% | 625 | $0.00 | |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 0% | 493 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 27 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 41 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialANAND, SUSHIL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Sushil Anand & Associates Medical Corp | Corona, CA | $866K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.