Robert Sussman MD PA

Robert Sussman MD PA was paid $1.05M by Medicaid between Dec 2018 and Jul 2021, across 19 billing codes. Its largest line is H1000, Prenatal care, at-risk assessment — 56% of everything it billed.

33Billing provider infoROBERT SUSSMAN MD PA
BOYNTON BEACH, FL 33435

33aNPI1376688051assigned 02/21/2007

33bProvider typeObstetrics & Gynecology Physician

28Total paid$1.05M

24GClaims14,432

24DCodes billed19

24AFirst – last monthDec 2018 – Jul 2021

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Florida

Rank by total paid#37 of 352

Median peer was paid$67K

This provider vs. median16×

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	598	$43K
2019	6,316	$489K
2020	5,101	$345K
2021	2,417	$173K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H1000	Prenatal care, at-risk assessment	56%	7,932	5,551	$585K
59410		11%	136	136	$120K
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	10.0%	1,128	1,041	$105K
H1001	Prenatal care, at-risk enhanced service; antepartum management	7.0%	358	344	$73K
59430		4.5%	692	518	$47K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.4%	884	814	$46K
59515		3.1%	37	37	$32K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.2%	174	172	$13K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	366	343	$5K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	84	76	$5K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	201	197	$5K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	134	123	$4K

7 more codes

76801		<1%	264	$3K
99204	Doctor's office visit, new patient (more involved)	<1%	13	$2K
76819	Fetal biophysical profile; without non-stress testing	<1%	133	$2K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	91	$1K
81025		<1%	858	$753.81
81002		<1%	773	$508.17
36415	Collection of venous blood by venipuncture	<1%	174	$98.97

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 officialCRAIG, JULIE (OFFICE MANAGER)