Physician
Anand, Sushil
Anand, Sushil was paid $245K by Medicaid between Jan 2018 and Nov 2024, across 72 billing codes. Its largest line is 96110, Developmental screening, with scoring and documentation, per standardized instrument — 52% of everything it billed.
33Billing provider infoANAND, SUSHIL
ONTARIO, CA 91762
ONTARIO, CA 91762
33aNPI1548444250assigned 12/18/2007
33bProvider typePediatrics Physician
28Total paid$245K
24GClaims56,322
24DCodes billed72
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#327 of 1,490
Median peer was paid$15K
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 | 7,200 | $452.87 | |
| 2019 | 486 | $8K | |
| 2020 | 3,811 | $48K | |
| 2021 | 9,982 | $96K | |
| 2022 | 17,346 | $56K | |
| 2023 | 15,490 | $28K | |
| 2024incomplete | 2,007 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 52% | 3,401 | 3,277 | $126K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 5,483 | 4,794 | $42K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 856 | 827 | $14K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 5.3% | 3,348 | 3,244 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.2% | 1,296 | 1,263 | $13K |
| 92551 | 3.2% | 3,155 | 3,093 | $8K | |
| G9920 | Screening performed and negative | 2.1% | 3,770 | 3,652 | $5K |
| 99406 | 1.7% | 2,328 | 2,279 | $4K | |
| 90670 | 1.3% | 789 | 778 | $3K | |
| 92081 | 1.3% | 355 | 353 | $3K | |
| 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 | 1.0% | 1,010 | 932 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 102 | 102 | $2K |
60 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 892 | $2K |
| 90698 | <1% | 523 | $2K | |
| 90686 | <1% | 584 | $1K | |
| 90633 | <1% | 330 | $721.71 | |
| 99383 | <1% | 17 | $613.37 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 576 | $401.68 |
| 90688 | <1% | 91 | $338.58 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 2,093 | $337.60 |
| 90680 | <1% | 141 | $286.20 | |
| 99381 | <1% | 14 | $224.40 | |
| 90716 | <1% | 207 | $196.02 | |
| 99188 | <1% | 185 | $181.76 | |
| 90707 | <1% | 211 | $178.20 | |
| 90744 | <1% | 90 | $160.38 | |
| 90700 | <1% | 148 | $106.92 | |
| 90672 | <1% | 87 | $80.19 | |
| 90715 | <1% | 91 | $71.28 | |
| 90651 | <1% | 245 | $62.37 | |
| 90734 | <1% | 169 | $53.46 | |
| 90713 | <1% | 27 | $53.46 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 46 | $31.58 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 16 | $29.38 |
| 96127 | <1% | 171 | $10.48 | |
| 86580 | <1% | 132 | $6.69 | |
| 85018 | <1% | 42 | $6.57 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,023 | $6.00 |
| 81002 | <1% | 35 | $4.48 | |
| 90685 | 0% | 58 | $0.00 | |
| 4004F | 0% | 1,049 | $0.00 | |
| 90461 | 0% | 1,081 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 2,690 | $0.00 |
| 99173 | 0% | 2,206 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 406 | $0.00 |
| 83655 | 0% | 71 | $0.00 | |
| 96160 | 0% | 1,963 | $0.00 | |
| 99408 | 0% | 360 | $0.00 | |
| 81003 | 0% | 229 | $0.00 | |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 0% | 404 | $0.00 |
| 80061 | Lipid panel | 0% | 33 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 43 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 3,517 | $0.00 |
| 3008F | 0% | 2,612 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 2,440 | $0.00 |
| 90620 | 0% | 93 | $0.00 | |
| 96161 | 0% | 348 | $0.00 | |
| G0443 | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes | 0% | 196 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 28 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 88 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 330 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 283 | $0.00 |
| 90660 | 0% | 13 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 197 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 14 | $0.00 |
| 99251 | 0% | 14 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 230 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 153 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 22 | $0.00 |
| 90677 | 0% | 21 | $0.00 | |
| 90696 | 0% | 17 | $0.00 | |
| 90656 | 0% | 34 | $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.