Dharmasena, Sanath

Dharmasena, Sanath was paid $16K by Medicaid between Jan 2018 and Nov 2020, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 63% of everything it billed.

33Billing provider infoDHARMASENA, SANATH
STATEN ISLAND, NY 10304

33aNPI1730347949assigned 05/26/2008

33bProvider typeInternal Medicine Physician

28Total paid$16K

24GClaims1,297

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#2,678 of 6,049

Median peer was paid$11K

This provider vs. median1.4×

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	219	$3K
2019	639	$7K
2020	439	$7K

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	63%	688	685	$10K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	24%	273	267	$4K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	8.6%	86	85	$1K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.9%	79	77	$805.70
G8785	Blood pressure reading not documented, reason not given	0%	16	15	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	155	151	$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.