Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gunduz, Susan

Gunduz, Susan was paid $1.26M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99443, — 28% of everything it billed.

33Billing provider infoGUNDUZ, SUSAN
NORTHPORT, NY 11768
33aNPI1255426110assigned 10/04/2006
33bProvider typePediatrics Physician
28Total paid$1.26M
24GClaims32,053
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New York

Rank by total paid#246 of 1,983
Median peer was paid$17K
This provider vs. median74×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20183,816$112K
20193,799$111K
20204,738$146K
20215,080$253K
20225,677$276K
20235,132$205K
2024incomplete3,811$154K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99443 28% 3,223 2,651 $351K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 4,435 3,966 $337K
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 24% 2,904 2,545 $297K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.1% 729 729 $65K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.7% 617 617 $59K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.0% 183 174 $26K
90460 Immunization administration through 18 years of age via any route, first or only component 2.0% 2,981 2,922 $25K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.6% 219 218 $20K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.3% 1,158 557 $17K
96127 1.2% 4,015 2,506 $16K
87070 1.0% 1,577 1,493 $13K
87184 <1% 1,577 1,493 $10K
28 more codes
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 98 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,809 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 25 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 208 $2K
0072A <1% 16 $615.91
96160 <1% 2,205 $613.64
90651 <1% 40 $569.18
0071A <1% 14 $520.18
87807 <1% 25 $337.71
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 718 $310.39
90686 <1% 637 $292.12
83655 <1% 13 $195.00
90461 <1% 484 $183.37
99173 <1% 1,319 $163.65
90715 <1% 29 $154.30
99050 <1% 18 $99.75
99177 <1% 228 $51.89
85018 <1% 14 $28.00
90656 <1% 31 $23.54
94760 <1% 217 $15.96
96161 <1% 14 $8.10
91307 <1% 34 $1.80
90619 0% 29 $0.00
36416 0% 26 $0.00
90633 0% 43 $0.00
99072 0% 85 $0.00
91300 0% 13 $0.00
90734 0% 43 $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.