Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUMANA KETHA, MD PA

NPI: 1356565865 · IRVING, TX 75038 · Internal Medicine Physician · NPI assigned 04/13/2007

$45K
Total Medicaid Paid
9,818
Total Claims
7,840
Beneficiaries
23
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKETHA, SUMANA (PROVIDER)
NPI Enumeration Date04/13/2007

Related Entities

Other providers sharing the same authorized official: KETHA, SUMANA

ProviderCityStateTotal Paid
DFW MEDICAL HOME PLLC IRVING TX $1.05M
DFW PRIMARY CARE PLLC IRVING TX $35K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 32 $762.45
2021 245 $10K
2022 652 $11K
2023 4,043 $8K
2024 4,846 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,275 1,070 $23K
99337 431 357 $15K
99350 Prolong home eval add 15m 44 40 $4K
99306 Prolong nursin fac eval 15m 58 58 $2K
99487 Ccm add 20min 610 599 $932.29
99308 Subsequent nursing facility care, per day, straightforward 34 31 $540.48
99310 Prolong nursin fac eval 15m 23 23 $366.39
99489 Ccm add 20min 610 599 $164.05
99490 Ccm add 20min 514 510 $118.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 58 58 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 712 530 $0.00
G9711 Patients with a diagnosis or past history of total colectomy or colorectal cancer 554 394 $0.00
99439 327 324 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 588 425 $0.00
G8733 Elder maltreatment screen documented as positive and a follow-up plan is documented 1,264 839 $0.00
1123F 585 421 $0.00
99496 14 14 $0.00
G0029 Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period 558 395 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 95 83 $0.00
3046F 236 174 $0.00
99497 62 59 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 608 442 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 558 395 $0.00