Sussman, Scott

Sussman, Scott was paid $9K by Medicaid between Dec 2018 and Aug 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoSUSSMAN, SCOTT
STONY BROOK, NY 11790

33aNPI1720153570assigned 11/21/2006

33bProvider typeFamily Nurse Practitioner

28Total paid$9K

24GClaims335

24DCodes billed6

24AFirst – last monthDec 2018 – Aug 2024

Compared with peers

Next to other Family Nurse Practitioner providers in New York

Rank by total paid#478 of 1,582

Median peer was paid$2K

This provider vs. median4.0×

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	18	$333.97
2019	89	$3K
2020	70	$1K
2021	40	$1K
2022	41	$2K
2023	12	$60.56
2024incomplete	65	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	52%	140	132	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	46%	116	105	$4K
96127		1.0%	29	29	$96.43
36415	Collection of venous blood by venipuncture	<1%	12	12	$14.96
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%	26	25	$0.00
99000		0%	12	12	$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.