Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Nayar, Sudha

Nayar, Sudha was paid $5K by Medicaid between Dec 2020 and Apr 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.

33Billing provider infoNAYAR, SUDHA
CHARLEROI, PA 15022
33aNPI1396739389assigned 09/06/2005
33bProvider typeNephrology Physician
28Total paid$5K
24GClaims264
24DCodes billed3
24AFirst – last monthDec 2020 – Apr 2024
Compared with peers

Next to other Nephrology Physician providers in Pennsylvania

Rank by total paid#69 of 149
Median peer was paid$5K
This provider vs. median1.2×

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$250$500$7502018201920202021202220232024
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
202034$168.30
202189$2K
202228$914.14
202399$2K
2024incomplete14$359.16
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 71% 140 131 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 90 88 $1K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.1% 34 13 $168.30

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.