Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Sam, Sunil

Sam, Sunil was paid $85K by Medicaid between Jul 2021 and Dec 2023, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 54% of everything it billed.

33Billing provider infoSAM, SUNIL
FESTUS, MO 63028
33aNPI1366934176assigned 06/06/2018
28Total paid$85K
24GClaims2,093
24DCodes billed5
24AFirst – last monthJul 2021 – Dec 2023
Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Missouri

Rank by total paid#6 of 64
Median peer was paid$2K
This provider vs. median35×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2021786$35K
2022844$29K
2023463$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 54% 1,312 1,078 $46K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 25% 200 195 $21K
99308 Subsequent nursing facility care, per day, straightforward 14% 366 357 $12K
99238 Hospital discharge day management, 30 minutes or less 5.1% 124 116 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 2.0% 91 61 $2K

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.