Goyal, Sushma

Goyal, Sushma was paid $10K by Medicaid between Apr 2018 and Sep 2019, across 5 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 54% of everything it billed.

33Billing provider infoGOYAL, SUSHMA
WASHINGTON, DC 20032

33aNPI1720182249assigned 09/13/2006

33bProvider typeFamily Medicine Physician

28Total paid$10K

24GClaims265

24DCodes billed5

24AFirst – last monthApr 2018 – Sep 2019

Compared with peers

Next to other Family Medicine Physician providers in District of Columbia

Rank by total paid#17 of 42

Median peer was paid$3K

This provider vs. median3.1×

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	170	$7K
2019	95	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	54%	59	48	$6K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	22%	130	118	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	16%	18	15	$2K
90472	Immunization administration, each additional vaccine (list separately)	6.2%	44	40	$638.46
86580		1.1%	14	14	$112.00

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.