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

S K Syal MD PA

S K Syal MD PA was paid $595K by Medicaid between Sep 2019 and Nov 2024, across 76 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.

33Billing provider infoS K SYAL MD PA
TEXAS CITY, TX 77591
33aNPI1669927851assigned 08/18/2016
33bProvider typePediatrics Physician
28Total paid$595K
24GClaims44,672
24DCodes billed76
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Texas

Rank by total paid#470 of 1,136
Median peer was paid$329K
This provider vs. median1.8×

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

$0$25K$50K$75K2018201920202021202220232024
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
2019114$3K
20201,761$8K
20217,152$48K
202214,792$211K
202313,168$217K
2024incomplete7,685$107K
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 21% 2,759 2,348 $124K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 12% 1,078 958 $73K
99000 8.6% 5,356 2,200 $51K
94010 6.3% 1,847 1,637 $37K
95012 6.2% 1,932 1,650 $37K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.6% 369 316 $27K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4.5% 3,587 1,599 $27K
92081 4.4% 1,001 948 $26K
90792 Psychiatric diagnostic evaluation with medical services 4.1% 228 199 $25K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.6% 260 237 $22K
96112 3.1% 218 202 $18K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.8% 449 388 $17K
64 more codes
36410 2.6% 1,965 $16K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.6% 221 $16K
96130 2.4% 295 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1.3% 672 $8K
90460 Immunization administration through 18 years of age via any route, first or only component 1.1% 596 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 120 $6K
92552 <1% 872 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 94 $5K
80061 Lipid panel <1% 830 $5K
83655 <1% 809 $5K
99417 Prolong home eval add 15m <1% 536 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 850 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 520 $4K
99441 <1% 161 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 167 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 485 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 46 $1K
98960 <1% 2,350 $1K
99354 <1% 19 $1K
97802 <1% 858 $810.07
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 45 $772.38
99383 <1% 26 $732.12
95076 <1% 48 $499.00
99382 <1% 17 $369.88
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 14 $369.60
81002 <1% 154 $276.77
87807 <1% 32 $156.81
86580 <1% 36 $147.42
96160 <1% 2,343 $146.49
90461 <1% 129 $114.38
87430 <1% 13 $108.12
90688 <1% 49 $90.12
85014 <1% 57 $67.05
99078 <1% 25 $42.78
94760 <1% 917 $12.81
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 16 $10.33
96161 <1% 625 $9.56
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 964 $0.44
90785 0% 228 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 1,166 $0.00
G8539 Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment 0% 371 $0.00
3725F 0% 642 $0.00
90863 0% 139 $0.00
99051 0% 43 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 14 $0.00
4551F 0% 149 $0.00
99173 0% 50 $0.00
3078F 0% 14 $0.00
96158 0% 39 $0.00
90734 0% 12 $0.00
96127 0% 2,040 $0.00
1111F 0% 1,138 $0.00
99402 0% 181 $0.00
92283 0% 812 $0.00
4060F 0% 110 $0.00
A9150 Non-prescription drugs 0% 88 $0.00
G8422 Bmi not documented, documentation the patient is not eligible for bmi calculation 0% 14 $0.00
3700F 0% 110 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 41 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 0% 50 $0.00
0001F 0% 81 $0.00
85018 0% 14 $0.00
96156 0% 39 $0.00
3008F 0% 27 $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 officialSYAL, ASHU (OWNER)
Same official

Other billing entities under SYAL, ASHU

Full network →
ProviderLocationPaid
Anupam MD PAPasadena, TX$6.55M
Pediatric Medical Center, PAHouston, TX$2.71M
Gian S Bedi MD PAPasadena, TX$2.47M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.