Physician
Sudheer K Sankar MD PA
Sudheer K Sankar MD PA was paid $207K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 61% of everything it billed.
33Billing provider infoSUDHEER K SANKAR MD PA
HOUSTON, TX 77074
HOUSTON, TX 77074
33aNPI1578816476assigned 10/17/2012
33bProvider typeNephrology Physician
28Total paid$207K
24GClaims10,133
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in Texas
Rank by total paid#18 of 172
Median peer was paid$18K
This provider vs. median11×
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 | 1,436 | $12K | |
| 2019 | 801 | $5K | |
| 2020 | 461 | $4K | |
| 2021 | 1,991 | $38K | |
| 2022 | 2,391 | $60K | |
| 2023 | 1,746 | $52K | |
| 2024incomplete | 1,307 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 61% | 6,611 | 1,460 | $126K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 10% | 594 | 586 | $21K |
| 90961 | 8.9% | 312 | 307 | $18K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.8% | 803 | 274 | $18K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.8% | 244 | 234 | $12K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.0% | 387 | 139 | $4K |
| 99223 | Prolong inpt eval add15 m | 1.9% | 108 | 106 | $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 | 1.6% | 263 | 259 | $3K |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 218 | 213 | $0.00 |
| 1036F | 0% | 278 | 270 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 315 | 306 | $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.
From NPPES
Who's on the registration
Authorized officialSANKAR, SUDHEER (PRESIDENT)