Patel, Suman

Patel, Suman was paid $1.39M by Medicaid between Jan 2018 and Aug 2023, across 8 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 65% of everything it billed.

33Billing provider infoPATEL, SUMAN
VAN NUYS, CA 91405

33aNPI1437225174assigned 11/27/2006

33bProvider typeInternal Medicine Physician

28Total paid$1.39M

24GClaims25,170

24DCodes billed8

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#113 of 2,679

Median peer was paid$13K

This provider vs. median110×

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	3,219	$148K
2019	3,240	$214K
2020	6,633	$429K
2021	7,102	$311K
2022	3,193	$189K
2023	1,783	$99K

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	65%	15,481	2,478	$902K
99308	Subsequent nursing facility care, per day, straightforward	22%	7,606	1,364	$300K
99310	Prolong nursin fac eval 15m	8.3%	1,372	596	$115K
99306	Prolong nursin fac eval 15m	2.1%	245	241	$29K
99205	Prolong outpt/office vis	1.5%	149	149	$20K
99497		1.3%	242	238	$18K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	44	41	$4K
1111F		<1%	31	31	$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.