Sugarman, Thomas

Sugarman, Thomas was paid $26K by Medicaid between Aug 2022 and Dec 2023, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 58% of everything it billed.

33Billing provider infoSUGARMAN, THOMAS
ANTIOCH, CA 94509

33aNPI1609895903assigned 07/18/2006

33bProvider typeEmergency Medicine Physician

28Total paid$26K

24GClaims345

24DCodes billed3

24AFirst – last monthAug 2022 – Dec 2023

Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#512 of 988

Median peer was paid$32K

This provider vs. median0.8×

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
2022	55	$4K
2023	290	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	58%	178	173	$15K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	40%	155	146	$10K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	1.9%	12	12	$480.31

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.