Physician
Suhardja, Agustinus
Suhardja, Agustinus was paid $649.92 by Medicaid between Apr 2018 and Jun 2022, across 2 billing codes. Its largest line is 71045, Radiologic examination, chest; single view — 79% of everything it billed.
33Billing provider infoSUHARDJA, AGUSTINUS
GLENDORA, CA 91740
GLENDORA, CA 91740
33aNPI1235349473assigned 05/23/2007
33bProvider typeDiagnostic Radiology Physician
28Total paid$649.92
24GClaims86
24DCodes billed2
24AFirst – last monthApr 2018 – Jun 2022
Compared with peers
Next to other Diagnostic Radiology Physician providers in California
Rank by total paid#557 of 797
Median peer was paid$6K
This provider vs. median0.1×
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 | 17 | $63.32 | |
| 2022 | 69 | $586.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 71045 | Radiologic examination, chest; single view | 79% | 68 | 66 | $512.29 |
| 73564 | 21% | 18 | 15 | $137.63 |
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.