Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Shrestha, Sujit

Shrestha, Sujit was paid $218K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 25% of everything it billed.

33Billing provider infoSHRESTHA, SUJIT
SIERRA VISTA, AZ 85635
33aNPI1275686891assigned 01/18/2007
33bProvider typeSpecialist
28Total paid$218K
24GClaims28,940
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Specialist providers in Arizona

Rank by total paid#73 of 179
Median peer was paid$112K
This provider vs. median1.9×

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$5.0K$10K$15K2018201920202021202220232024
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
2018232$7K
2019310$8K
20202,314$16K
20218,292$67K
20227,375$59K
20235,481$36K
2024incomplete4,936$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 25% 1,892 1,766 $54K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17% 1,089 850 $37K
80053 Comprehensive metabolic panel 14% 5,989 5,158 $30K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7.8% 5,994 5,013 $17K
84443 Thyroid stimulating hormone (TSH) 6.4% 1,742 1,696 $14K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5.1% 330 302 $11K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4.2% 590 566 $9K
88307 3.4% 148 132 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.9% 799 763 $6K
87086 Culture, bacterial; quantitative colony count, urine 2.7% 1,159 1,064 $6K
84484 1.6% 782 617 $3K
83735 1.6% 1,060 779 $3K
15 more codes
81025 1.5% 1,278 $3K
80048 Basic metabolic panel (calcium, ionized) 1.4% 732 $3K
83690 1.1% 741 $2K
85027 <1% 749 $2K
81001 <1% 1,482 $2K
81003 <1% 1,371 $1K
83605 <1% 207 $1K
80306 <1% 165 $965.31
87186 <1% 153 $908.21
85610 <1% 292 $538.63
88304 <1% 26 $448.53
87081 <1% 101 $284.95
84703 <1% 43 $153.94
87040 <1% 13 $135.00
85379 <1% 13 $48.75

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.