Physician
Sumana Ketha, MD PA
Sumana Ketha, MD PA was paid $45K by Medicaid between Oct 2020 and Nov 2024, across 23 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 50% of everything it billed.
33Billing provider infoSUMANA KETHA, MD PA
IRVING, TX 75038
IRVING, TX 75038
33aNPI1356565865assigned 04/13/2007
33bProvider typeInternal Medicine Physician
28Total paid$45K
24GClaims9,818
24DCodes billed23
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Texas
Rank by total paid#311 of 1,028
Median peer was paid$10K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2020 | 32 | $762.45 | |
| 2021 | 245 | $10K | |
| 2022 | 652 | $11K | |
| 2023 | 4,043 | $8K | |
| 2024incomplete | 4,846 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 50% | 1,275 | 1,070 | $23K |
| 99337 | 33% | 431 | 357 | $15K | |
| 99350 | Prolong home eval add 15m | 8.9% | 44 | 40 | $4K |
| 99306 | Prolong nursin fac eval 15m | 4.0% | 58 | 58 | $2K |
| 99487 | Ccm add 20min | 2.1% | 610 | 599 | $932.29 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.2% | 34 | 31 | $540.48 |
| 99310 | Prolong nursin fac eval 15m | <1% | 23 | 23 | $366.39 |
| 99489 | Ccm add 20min | <1% | 610 | 599 | $164.05 |
| 99490 | Ccm add 20min | <1% | 514 | 510 | $118.68 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 58 | 58 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 712 | 530 | $0.00 |
| G9711 | Patients with a diagnosis or past history of total colectomy or colorectal cancer | 0% | 554 | 394 | $0.00 |
11 more codes
| 99439 | 0% | 327 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 588 | $0.00 |
| G8733 | Elder maltreatment screen documented as positive and a follow-up plan is documented | 0% | 1,264 | $0.00 |
| 1123F | 0% | 585 | $0.00 | |
| 99496 | 0% | 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 | 0% | 558 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 95 | $0.00 |
| 3046F | 0% | 236 | $0.00 | |
| 99497 | 0% | 62 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 608 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 558 | $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.
From NPPES
Who's on the registration
Authorized officialKETHA, SUMANA (PROVIDER)
| Provider | Location | Paid |
|---|---|---|
| DFW Medical Home PLLC | Irving, TX | $1.05M |
| DFW Primary Care PLLC | Irving, TX | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.