Physician
Sussman, Daniel
Sussman, Daniel was paid $175K by Medicaid between Jan 2018 and Oct 2024, across 15 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 49% of everything it billed.
33Billing provider infoSUSSMAN, DANIEL
PADUCAH, KY 42003
PADUCAH, KY 42003
33aNPI1275575870assigned 06/11/2006
33bProvider typePsychiatry Physician
28Total paid$175K
24GClaims8,299
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Psychiatry Physician providers in Kentucky
Rank by total paid#32 of 73
Median peer was paid$137K
This provider vs. median1.3×
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 | 1,489 | $24K | |
| 2019 | 1,427 | $19K | |
| 2020 | 1,479 | $19K | |
| 2021 | 2,898 | $69K | |
| 2022 | 705 | $23K | |
| 2023 | 245 | $16K | |
| 2024incomplete | 56 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99310 | Prolong nursin fac eval 15m | 49% | 2,576 | 2,259 | $86K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 1,047 | 180 | $28K |
| 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 | 15% | 335 | 314 | $27K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.0% | 756 | 167 | $16K |
| 99223 | Prolong inpt eval add15 m | 3.3% | 122 | 107 | $6K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.0% | 102 | 95 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 78 | 67 | $3K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4% | 116 | 105 | $2K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 67 | 51 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 22 | 20 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 15 | 15 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 27 | 27 | $518.12 |
3 more codes
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.